Billing and Eligibility Specialist

Job Summary

To support the efficient operation of the department, the hybrid/remote Billing and Eligibility Specialist will assess, interpret, and process incoming eligibility feeds, manage COBRA enrollments and inquiries, and ensure compliance with relevant regulations.

Key responsibilities

• Administer and coordinate day-to-day operations of COBRA functions for accurate processing of updates
• Manage COBRA enrollments, terminations, and premium payment updates through internal systems
• Respond to COBRA-related inquiries from former employees, beneficiaries, and insurance carriers

Required qualifications

• 3-5 years of experience in benefits administration within a TPA or health plan environment, focusing on COBRA management
• Strong understanding of COBRA, HIPAA, ERISA, and ACA regulations
• Proficiency in benefit administration systems and Microsoft Office applications