Job description

ValueHealth Benefit Administrators (VHBA) is a nationwide health benefits Third Party Administrator and reigning leader in the development and administration of custom benefits solutions and value-based contracting.

Are you a customer-focused fanatic who loves research and problem-solving? We are seeking a service-focused Claims Specialist with demonstrated skills in prioritization, time management and problem-solving to join our Claims Specialist Team.

Hybrid remote work schedule with offices located in Great Bend, KS and Wichita, KS

What you will do

Specific responsibilities include, but are not limited to the following:

• Process and audit medical, dental and vision claims
• Research and troubleshoot complex questions, plan issues and health plan vendors or other benefit plan service providers as appropriate
• Ensure policies, procedures and health plan benefits are executed with precision and timeliness
• Project management and analysis of client needs
• Communicate with policyholders, employer groups, vendors, brokers and internal staff
• Provide exceptional customer service by answering and handling incoming and outgoing phone calls, email and faxed correspondence
• Lead and facilitate meetings with internal and external customers

The Experience You Will Bring

Requirements:

• 2+ years of experience in a medical insurance claims related position
• 2+ years of experience processing medical, dental and vision claims
• 2+ years of experience in customer service and working with external clients
• Experience working at a TPA
• Experience with self-funded plans
• Experience with Microsoft Word, Microsoft Excel, Adobe, Outlook
• Strong project management, analytical and organziational skills
• Strong written and verbal communication skills
• High School or equivalent
• Medical Terminology

What will put you ahead

Preferred requirements:

• Strong presentation skills and ability to lead meetings
• Working with clients and building relationships
• Experience processing claims in LuminX
• Ability to analyze data and provide solutions
• Work closely with internal teams and management

A successful candidate will have the following attributes:

• High level of personal integrity and ability to maintain confidential information
• Excellent oral and written communication skills and attention to detail
• Demonstrated ability to work with minimal supervision
• Strong organizational skills
• Sense of urgency which drives results
• Interpersonal skills – ability to effectively interact with individuals at all levels within/outside the organization
• Demonstrated problem solving and critical thinking skills
• Ability to work in a team environment
• Dependable and capable of multi-tasking
• Innovative mindset

Meet the reigning authority on self-funded health insurance, third party administration, and value-based contracting and reimbursement. Since 1995, VHBA has built and administered countless health benefit programs, covering thousands of lives across the U.S. with strategic solutions and targeted, cost-saving plan options.

At VHBA, we challenge the status quo to find new ways to create value for our customers and society. Compensation ranges are an estimate determined by available market data. The actual amount may be higher or lower than the range provided considering each candidate’s knowledge, skills, abilities, and geographic location.

Our benefits plan includes Medical, supplemental insurance, dental, vision, flexible spending and health savings accounts, life insurance, ADD, disability, retirement, paid time off. Specific criteria are set by the applicable Summary Plan Description.

Equal Opportunity Employer, including disability and protected veteran status.

This employer uses E-Verify.

Job Type: Full-time

Pay: $16.00 - $18.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Professional development assistance
• Retirement plan
• Vision insurance

Physical setting:

• Office

Schedule:

• 8 hour shift
• Monday to Friday

Application Question(s):

• Are you familiar with medical insurance terminology?

Education:

• High school or equivalent (Required)

Experience:

• processing medical claims: 2 years (Required)
• customer service: 2 years (Required)
• medical insurance claims: 2 years (Required)

Work Location: Remote

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