Special Processing Specialist II (Remote)

Added
8 days ago
Type
Full time
Salary
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Related skills

cms compliance microsoft office hris hipaa

๐Ÿ“‹ Description

  • Review and process appeals, condolences, QMCSO orders, Medicare L-564 forms, and POA requests
  • Verify eligibility and manage elections, record updates, and coverage activation per SOPs.
  • Submit life and disability claims timely with complete and correct information.
  • Apply client-specific requirements across multiple workstreams.
  • Provide proactive, accurate, and empathetic support to enhance member experience.
  • Communicate professionally with members, internal teams, and external partners.

๐ŸŽฏ Requirements

  • Bachelorโ€™s degree preferred in Human Resources, Business Administration, or related field.
  • 2โ€“3 years experience in HR operations or employee support.
  • Strong knowledge of benefits processing and compliance requirements.
  • Proficiency with HRIS and Microsoft Office.
  • Excellent attention to detail and ability to manage confidential information.
  • Strong communication skills and ability to work collaboratively while adhering to HIPAA, IRS, and

๐ŸŽ Benefits

  • comprehensive benefits package
  • pay for this position is $18.50 per hour
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