Group Admin Coordinator

JOB DESCRIPTION

Job Title: Group Admin Coordinator

100% Remote

Expenses allowed: no

Equipment to be Provided

Job Summary:

Basic Computer Literacy: Microsoft Word, Microsoft Excel, Sharepoint, Outlook

Communication:

Speak up when they don’t understand

Speak up in advance when they are concerned that they will not hit the deadline

Work Ethic:

Speak up when they are looking for work

Written communication should be professional and not harsh when providing feedback to another team member

Resilient:

Ability to pivot quickly

Ability to manage high volumes of work every day

Ability to manage time effectively to ensure they are working on the most important task

Has healthy coping mechanisms for maintaining composure when we are in the peak of open enrollment

Adaptability:

Shows an eagerness or hunger to keep learning

Has the ability to learn new software

Ability to connect the dots quickly and efficiently

Essential Functions:

• Analyze and interpret documentation received from Sales (EGI, NGI, Revisions, Client Fact Sheet, etc.) to determine Facets setup, configuration, and accurately build a variety of fully-funded benefit options, group structures, and enroll members.
• Conduct moderately complex research as necessary to effectively resolve customer issues and respond to customer inquiries regarding group and member status through Facets documentation, phone calls, written correspondence, and approved form letters.
• Participate in cross-functional training opportunities and process improvement initiatives within Revenue Cycle during the non-peak open enrollment periods.
• Works under minimal direction guided by established policies and procedures.
• Analyze multiple reports from various internal and external sources to determine and implement appropriate action to reconcile group/member discrepancies.
• Maintain a basic understanding of all internal and external computer systems and reports that impact the group set-up and member enrollment process.
• Participate in implementation workgroups with Sales and other business owners to ensure a transparent onboarding or renewal process for Key and Performance Guarantee groups.
• Monitors and prioritizes work in the OnBase workflow queues to ensure that our department Service Level Agreements are met.

Qualifications:

• Required High School Diploma or equivalent
• Preferred Associate's Degree in business or health care related field
• 2 years of relevant experience in the healthcare industry or related field Required
• Experience with FACETS Software in benefit and/or group configuration/maintenance or claims Preferred

Notices:

• Client is committed to granting reasonable accommodations in accordance with applicable laws.

• Once the contractor begins their assignment, they are responsible for submitting their time through the appropriate portal by Mondays at 11:59 a.m (VNDLY for Non-Clinical Business Unit / Planview for DS Business Unit).
• The supplier is responsible for training contractors in VNDLY, while hiring managers are responsible for training in Planview (once approved, Planview timesheets integrate into VNDLY for payment). VNDLY is our platform for invoicing and payments, so if timesheets are not completed with manager approval, it will impact your agency payment from Client. Contractors are responsible for follow up with their managers for approval.

• If a Service Provider or Contingent Worker fails to take action required for accurate invoicing within 45 days following the end of a pay cycle in which services were provided, then Client shall not be obligated to make payment to Service Provider for those services.
• Examples of action: If staff provided services ending the week Sep 3, 2023 and Service Provider does not submit accurate timesheets no later Oct 18, 2023, Client shall not be obligated to pay for the service provided during that timeframe.
• Supplier must take system action to implement agreed upon rate changes prior to the week the change becomes effective.
• It is highly recommended that timesheet reconciliation and issue inquiry/correction is performed by the supplier prior to the 45 days.
• No other forms of invoicing are accepted outside of our timesheet approval process.

JOB DESCRIPTION

Job Title: Group Admin Coordinator

100% Remote

Expenses allowed: no

Client Equipment to be Provided

Job Summary:

Basic Computer Literacy: Microsoft Word, Microsoft Excel, Sharepoint, Outlook

Communication:

Speak up when they don’t understand

Speak up in advance when they are concerned that they will not hit the deadline

Work Ethic:

Speak up when they are looking for work

Written communication should be professional and not harsh when providing feedback to another team member

Resilient:

Ability to pivot quickly

Ability to manage high volumes of work every day

Ability to manage time effectively to ensure they are working on the most important task

Has healthy coping mechanisms for maintaining composure when we are in the peak of open enrollment

Adaptability:

Shows an eagerness or hunger to keep learning

Has the ability to learn new software

Ability to connect the dots quickly and efficiently

Essential Functions:

• Analyze and interpret documentation received from Sales (EGI, NGI, Revisions, Client Fact Sheet, etc.) to determine Facets setup, configuration, and accurately build a variety of fully-funded benefit options, group structures, and enroll members.
• Conduct moderately complex research as necessary to effectively resolve customer issues and respond to customer inquiries regarding group and member status through Facets documentation, phone calls, written correspondence, and approved form letters.
• Participate in cross-functional training opportunities and process improvement initiatives within Revenue Cycle during the non-peak open enrollment periods.
• Works under minimal direction guided by established policies and procedures.
• Analyze multiple reports from various internal and external sources to determine and implement appropriate action to reconcile group/member discrepancies.
• Maintain a basic understanding of all internal and external computer systems and reports that impact the group set-up and member enrollment process.
• Participate in implementation workgroups with Sales and other business owners to ensure a transparent onboarding or renewal process for Key and Performance Guarantee groups.
• Monitors and prioritizes work in the OnBase workflow queues to ensure that our department Service Level Agreements are met.

Qualifications:

• Required High School Diploma or equivalent
• Preferred Associate's Degree in business or health care related field
• 2 years of relevant experience in the healthcare industry or related field Required
• Experience with FACETS Software in benefit and/or group configuration/maintenance or claims Preferred

Notices:

• Client is committed to granting reasonable accommodations in accordance with applicable laws.

• Once the contractor begins their assignment, they are responsible for submitting their time through the appropriate portal by Mondays at 11:59 a.m (VNDLY for Non-Clinical Business Unit / Planview for DS Business Unit).
• The supplier is responsible for training contractors in VNDLY, while hiring managers are responsible for training in Planview (once approved, Planview timesheets integrate into VNDLY for payment). VNDLY is our platform for invoicing and payments, so if timesheets are not completed with manager approval, it will impact your agency payment from Client. Contractors are responsible for follow up with their managers for approval.

• If a Service Provider or Contingent Worker fails to take action required for accurate invoicing within 45 days following the end of a pay cycle in which services were provided, then Client shall not be obligated to make payment to Service Provider for those services.
• Examples of action: If staff provided services ending the week Sep 3, 2023 and Service Provider does not submit accurate timesheets no later Oct 18, 2023, Client shall not be obligated to pay for the service provided during that timeframe.
• Supplier must take system action to implement agreed upon rate changes prior to the week the change becomes effective.
• It is highly recommended that timesheet reconciliation and issue inquiry/correction is performed by the supplier prior to the 45 days.
• No other forms of invoicing are accepted outside of our timesheet approval process.

Shift Times

8a-5p