Plan Building Coordinator

Now is the time to join us! 

Who are you?

The Plan Building Coordinator is responsible for the build and maintenance of plan benefits for new and existing groups upon implementation, renewal, and changes.

In this role you will wear many hats, but your knowledge will be essential in the following:  

• Support Implementation and Account Management teams by consolidating information during new client implementation and/or renewal to ensure the accuracy of benefits.

   

• Translate benefits from ICD10, HCPCS, CPT, CDT, and other insurance billing codes.

   

• Configure benefits in claims processing systems

   

• Generate benefits summaries, at a group level, for internal and external use in supporting member and provider understanding of available benefits

   

• Ensure compliance with applicable government regulations.

   

• Audit plans build work of other teammates.

   

• Process Group terminations, as needed

   

• Correspond with account managers, account coordinators, claims department, and other technical areas.

   

• Troubleshoot claims errors and refer escalated issues to team lead.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

What you bring to the Personify Health team:

In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including:

• High school diploma or general education degree (GED).

   

• At least 1 year of experience in healthcare field, claims or benefits strongly preferred.

   

• Experience with Self-funded health plans preferred.

   

• Working knowledge of medical billing and coding and/or medical claims processing

   

• Highly organized, detailed-oriented, and deadline-driven.

   

• Ability to read and interpret documents and instructions, short correspondence, and memos.?

   

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.

   

• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.

   

• Ability to deal with problems involving several concrete variables in standardized situations.

   

• Strong communications skills to effectively interact with various teams.

   

No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!

Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.

In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $31,000 to $53,000. Note that salary may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other benefits.

We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.

#WeAreHiring #PersonifyHealth

Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to [email protected]. All of our legitimate openings can be found on the Personify Health Career Site.