Benefit Plan Building Specialist
8162 Woodland Center Blvd Tampa, FL 33604 US
Job Description
COMPANY HIGHLIGHTS/RESPONSIBILITIES:
- Design and implement system configuration in accordance to benefit plan description.
- Build new groups and adjust systems per plan amendments in benefits system.
- Research plan provisions contained in benefit plan documents; clarify ambiguities contained in the plan language and provisions. Ensure plan language conforms to the group’s intent.
- Convert plan provisions to claim system adjudication functions.
- Construct/build benefit plans and related tables within the system.
- Coordinate the development of solutions for system related issues that may prevent the use of automated or standard processing methods.
QUALIFICATIONS:
- Associate or bachelor’s degree preferred.
- 3+ years benefit plan build experience; alternately demonstrated progressive experience in a claims processor role of at least 5 years.
- Knowledge of benefit application and plan building for health plans.
- Knowledge and experience in medical terminology including Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), International Classification of Diseases (ICD) 9/ 10 required.
Meet Your Recruiter
Nuria Curtis
Sales Manager
Nuria is a Sales Manager within Top Stack’s technology division.
She has a genuine ability to build rapport with people from all walks of life and industries. Her favorite aspect of this industry is seeing the candidate grow through each phase of their career. Nuria serves as the Co-President of the Blacks in Technology, Tampa Chapter, taking pride in the organization’s educational resources, job opportunities, and because it is a great networking platform for people from all walks of life that otherwise would not receive this type of connection. Prior to joining Top Stack, she was awarded Rookie of the Year in 2020 where she managed partnership with key federal accounts in the Orlando market. Nuria is a graduate from Valencia College.
Nuria has a sweet adoration for her three nieces and two dogs, Gracie and Midnight. During her free time, she enjoys playing tennis, golf, and traveling. She aspires to travel to Europe to enjoy a summer in Croatia and Greece, as well as take her mom to the French Open in Spain.
