For more than four decades, Trustmark Health Benefits has crafted integrated, flexible, and tailored employer health plan designs that seamlessly meet specific business needs and delight members. Each of our offices around the country is managed locally, by industry veterans who understand the dynamics of the markets they serve. Our responsive and empathetic service teams provide the highest level of support for employers and members. Our local expertise and service represents our national strength. We are an independently operated subsidiary of Trustmark Mutual Holding Company.

Join a passionate and purpose-driven team of colleagues who contribute to Trustmark’s mission of helping people increase wellbeing through better health and greater financial security. At Trustmark, you’ll work collaboratively to transform lives and help people, communities and businesses thrive. Flourish in a culture where appreciation, mutual respect and trust are constants, not just for our customers but for ourselves.

In this position, you will be responsible for providing quality service by timely and accurately entering and/or modifying eligibility data in Health Benefit systems according to established procedure and client requirements. This position is also responsible for responding to telephonic, written and electronic inquiries (PMC/web inquires) from employees/members, clients, brokers and co-workers.

PLEASE NOTE THIS POSITION WILL BE A HYBRID POSITION WHICH WILL REQUIRE WORKING THREE DAYS IN OUR WEST DES MOINES OFFICE AND TWO REMOTELY FROM HOME.

KEY ACCOUNTABILITIES:

• Based upon the client’s requirements and methods of eligibility submission, review, interpret, enter, process and/or audit enrollments, terminations and eligibility change requests in a timely and accurate manner utilizing any Health Benefits system, e.g. PowerSTEPP, Real Time Eligibility/portal, Triple E reports.
• Review and resolve eligibility error and audit reports.
• Maintain assigned eligibility WorkQueues according to Health Benefits procedure and turnaround time expectations.
• Work with Team Leader and/or Technical Eligibility Analyst to resolve electronic eligibility and Real Time Eligibility issues.
• Request ID Cards and distribute as required.
• Process requests for proof of coverage
• Audit Dependent Eligibility, when required.
• Respond to telephonic, written and electronic inquiries from clients/brokers, employees/members, and co-workers regarding eligibility, DEA and ID Card related issues.
• Treat all inquiries professionally and respectfully following Health Benefits guidelines
• Appropriately refer or escalate calls based on customer service procedures and guidelines.
• Research inquiries and respond appropriately.
• Follow-up regularly on outstanding issues to ensure timely resolution and client satisfaction.
• Thoroughly and accurately document all inquiries using PowerSTEPP and Family Files following Health Benefits guidelines.
• Other duties as needed/assigned.

MINIMUM REQUIREMENTS:

• Ability to work in a fast-paced, customer service and production driven environment is required.
• Must have exceptional data entry skills with high attention to detail
• Effective verbal and written communication skills required.
• Ability to work effectively with team members, employees/members, providers, and clients
• Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form
• Flexible; open to continued process improvement.
• Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word.
• Prior 1-2 years of experience with benefit enrollment or eligibility administration preferred.
• Prior experience in a medical office or hospital billing environment preferred.
• Self-Funded Insurance/Benefits and/or TPA experience a plus.

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All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, sexual identity, age, veteran or disability.

Required Skills Required Experience