Plan Coding Specialist

Plan Coding Specialist I at Allied Benefit Systems

6 days ago Be among the first 25 applicants

This range is provided by Allied Benefit Systems. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$20.00/hr - $21.00/hr

Analyze plan documents to accurately code and maintain group set-up in the Qiclink System.

• Accurately code self-funded and fully insured groups based on the plan document.
• Accurately update coding for all plan changes.
• Set up and maintain HRA processing plans.
• Maintain applicable programs to ensure the appropriate sharing of prescription accumulators.
• Audit the accuracy of all tasks completed.
• Create and maintain group documentation to ensure the correct processing of claims when manual intervention is required.
• Utilize Excel spreadsheets and Access databases to efficiently complete all tasks.
• Assist in automation by coding benefits that require no intervention.
• Manually add accumulators for new groups when necessary.
• Coordinate with plan documentation and account management staff to ensure difficult, detailed benefit levels can be accurately coded.
• Analyze and take appropriate action to correct any problems identified through referrals from claims, plan tester and customer service.
• Test and provide documentation for each system upgrade.
• Learn, adhere to, and apply all applicable privacy and security laws, including HIPAA, HITECH and related regulations.
• Attend continuing education classes as required, including HIPAA training.
• Respond timely and accurately to all benefit related questions that come to Plan Building.
• Other duties as assigned.

• High School diploma or equivalent required.

• 1-2 years Healthcare Benefits Experience required.
• 1-2 years Plan Coding experience preferred.
• Proficient in Word and Excel. Experience with or ability to learn Microsoft Access.
• Strong analytical skills and knowledge of computer systems and CPT and ICD-9 coding terminology.
• Effective oral and email communication.
• Continuing education in all areas affecting group health and welfare plans is required.

• Communication
• Customer Focus
• Accountability
• Functional/Technical Job Skills

• This is an office environment requiring extended sitting and computer work.

• Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100

Mbps download / 25

Mbps upload. Reliable internet service is essential for staying connected and productive.

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise pay ranges and benefits offerings at any time. Applicants acknowledge that by applying to the position they understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process.

Protect Yourself from Hiring Scams – All interviews are conducted via video. No job offer will ever be made without a video interview with Human Resources and/or the Hiring Manager. We never ask for payment or personal financial information during the hiring process. Verify all job opportunities through our official careers page.

• Entry level

• Full‑time

• Health Care Provider

• Insurance

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