SFPI is Hiring: Eligibility Coordinator/Assistant

Posted on 10/1/2018

Responsible for delivering wide range of services to Health Plan accounts including, customer service, enrollment and eligibility services, COBRA/HIPAA.

Must possess good Customer Service and math skills including ability to calculate benefits. Must be PC literate including MS Office Suite (Word, Outlook, & Excel) and have good keyboarding skills.

Willing to gain the knowledge needed to be able to independently apply benefit plan rules and provide eligibility and enrollment services.

Duties of position will include: responding to member inquiries, assisting members via phone, fax and email and conferring with client contact as required to ensure accurate information updates to system and verify and maintain employee demographic information.

Will be responsible for production and mailing of ID cards as well as relief receptionist and assisting the Department Manager.

Must have excellent communication skills (verbal and written) and possess ability to read, analyze, comprehend and disseminate information from plan documents.


SFPI is Hiring: Claims Assistant/Claims Examiner

Posted on 10/1/2018

Candidate should display eagerness to learn our business and provide support to the claims staff and perform other office duties associated with adjudication of Group Medical/Dental claims on Windows based proprietary clams system under multiple benefit plans.

Knowledge of medical terminology, ICD-10, CPT codes needed.

Prior claim processing experience helpful and experience in healthcare industry a plus.

Successful candidate should be able to determine benefits for multiple groups and process claims accurately according to corresponding Plan Documents. Must possess ability to read and interpret medical, dental and prescription plans and be proficient at data entry.

Duties will also include handling correspondence and phone calls from members and providers and documentation of same as well as assisting the Department Manager.

Minimum of 6 months professional administrative experience, preferably in the insurance industry; combination of training, education and experience.

Strong customer service skills required.