Transplant Benefit Specialist
The Shift: Saturday & Sunday required and 3 additional days during the week.
Location: Virtual
Interprets benefits and interfaces with members and providers to give benefit information
- Prepares individual benefit quotes for members and providers for transplant benefits
- Identifies high risk cases and alerts management
- Interfaces with internal and external representatives on benefit issues
- Creates new cases in the Medical Management System with accurate benefit, group and provider information
- Creates Case Management Folders and determines initial acuity level of case
Minimum Qualifications
- Requires HS diploma or equivalent and a minimum of 3 years related experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities, And Experiences
- Knowledge of health benefits and medical terminology strongly preferred
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
Benefits
- Market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement)
- Medical, dental, vision, short and long term disability benefits
- 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources
COVID-19 Vaccination Requirement
All new candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation.
Equal Employment Opportunity
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.