Benefit Eligibility Coordinator

Overview

Who We Are

Ready to create a healthier world? We are ready for you! Personify Health is on a mission to simplify and personalize the health experience to improve health and reduce costs for companies and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.

 

Responsibilities

Ready to Be the Essential Bridge for Members Continuing Their Healthcare Journey?

We're seeking a detail-oriented professional who can manage the critical process of COBRA and Retiree billing for members who have elected to continue benefits. As our Eligibility Benefit Support Coordinator, you'll ensure seamless transitions and accurate billing while providing essential support during important life changes.

 

What makes this role different

✓ Member advocacy focus: Support individuals during significant life transitions by ensuring continued access to healthcare benefits

✓ Process ownership: Take responsibility for end-to-end COBRA and Retiree billing processes that directly impact member experience

✓ Accuracy emphasis: Maintain meticulous attention to detail in billing, enrollment, and reporting that affects members' financial obligations

✓ Cross-functional coordination: Work with downstream vendors and internal teams to ensure seamless benefit continuation

 

What You'll Actually Do

Manage member communications: Review and respond to emails regarding COBRA/Retiree and billing-related questions while providing clear, helpful guidance to members navigating benefit transitions.

Ensure billing accuracy: Resolve billing discrepancies through systematic report analysis while auditing COBRA/Retiree member bills before mailing to prevent errors.

Process enrollments efficiently: Handle COBRA enrollments and terminations while updating demographic changes and generating certificates on the same day manual enrollments or transfers are completed.

Coordinate vendor relationships: Send urgent access to care emails to downstream vendors for COBRA/Retiree members while processing vendor notifications and reviewing paid-through reports.

Maintain compliance reporting: Work on RCO Status CMS reports to ensure accuracy while running quarterly censuses to identify and resolve discrepancies related to statuses, rating structures, and billing tiers.

Handle financial transactions: Post COBRA/Retiree member payments accurately while processing refunds and returned checks for members requiring assistance.

Qualifications

What You Bring to Our Mission

The foundational requirements:

• High school diploma or equivalent required

The technical competencies:

• Proficiency with Microsoft Office applications including Word, Excel, and Outlook
• Strong written communication skills for conveying information clearly and professionally
• Ability to learn and navigate specialized billing and enrollment systems

The professional qualities:

• Detail-oriented approach: Demonstrate keen attention to detail ensuring accuracy and thoroughness in all tasks
• Time management excellence: Effectively prioritize and manage tasks to meet deadlines while handling urgent requests
• Organizational skills: Adept at organizing and prioritizing tasks, especially those of special or urgent nature
• Problem-solving abilities: Capability to investigate and resolve billing discrepancies and enrollment issues
• Member service focus: Commitment to supporting members during important benefit transitions with empathy and professionalism

 

Why You'll Love It Here

We believe in total rewards that actually matter—not just competitive packages, but benefits that support how you want to live and work.

 

Your wellbeing comes first:

• Comprehensive medical and dental coverage through our own health solutions (yes, we use what we build!)
• Mental health support and wellness programs designed by experts who get it
• Flexible work arrangements that fit your life, not the other way around

 

Financial security that makes sense:

• Retirement planning support to help you build real wealth for the future