Health Plan Assistant (Part-TIme) - #1414547

UOSS Health Plan Assistant (Part-Time)

Overview

The UOSS Health Plan Assistant supports the Health Plan Administrator in delivering exceptional customer service and efficient health plan operations. This part-time role (20 hours/week, with occasional 40-hour weeks) is primarily remote, with occasional in-office training in Anchorage, AK. The role requires strong organizational skills, attention to detail, and proficiency in claims processing while adhering to ERISA and HIPAA standards.

Qualifications

• Bachelor’s Degree in Business Administration, Health Care Administration, or a related field.
• 3–5 years of experience in health-related work, including at least 2 years in claims processing or Third-Party Administrator (TPA) experience.
• Minimum 2 years of medical call center triage experience.
• Advanced proficiency in claims processing software.
• ERISA and HIPAA certification required.
• Valid Alaska driver’s license, current vehicle insurance, and reliable transportation.
• Ability to travel overnight for training as needed.
• Anchorage, AK office-based location required for training.
  
  

Knowledge, Skills, And Abilities

• Quick learner with consistent application of newly acquired skills.
• Strong integrity and discretion in handling confidential medical information per ERISA and HIPAA standards.
• Excellent communication skills, both verbal and written, with a professional and diplomatic approach to plan members, providers, vendors, and colleagues.
• Strong analytical and problem-solving skills with a thorough approach to complex issues.
• Exceptional active listening skills to address the needs and concerns of callers.
• Proven ability to multitask and prioritize while maintaining composure under pressure.
• Strong organizational skills to ensure seamless health plan operations.
• Proficient in data entry and keyboarding with high attention to detail and accuracy.
• Excellent time management skills to optimize resources and meet deadlines.
  
  

Work Environment

• Part-time, averaging 3 days per week (20 hours), with flexibility to work 40 hours/week for 3–4 weeks annually.
• Remote work 90% of the time, except during training at the Plan Administrator’s office in Anchorage, AK.
• Requires a quiet, secure, and HIPAA-compliant home office space during health plan operation hours (8 AM–5 PM MT, Monday–Friday, excluding company holidays).
• No supervisory responsibilities.
• Reports directly to the Health Plan Administrator, VP of Health Plans.
  
  

Essential Duties

• Support health plan and business unit objectives.
• Provide excellent customer service and health plan guidance to members and prospective company employees.
• Cover Health Plan Administrator’s call center hours and email responsibilities during their absence.
• Respond to calls and emails within 24 hours, maintaining detailed call logs, emails, and USPS mail records for seamless transitions.
• Scan and upload paper claims to the exchange server to ensure timely processing by health plan vendors.
• Check emails at least three times daily, responding within 24 hours or escalating to the Plan Administrator before the end of the business day.
• Process claims with an error rate of less than 2%.
• Document processes and observations to independently manage tasks in the absence of the Plan Administrator.
• Generate vendor and controller reports and handle HR-related data entry for new hires and terminations as assigned.
• Collaborate with the Plan Administrator to learn processes for annual open enrollment, claims audits, IBNR audit data compilation, and federal reporting (e.g., IRS Form 5500).
  
  

Nonessential Duties

• Complete additional assignments and projects as directed by the Plan Administrator to meet business needs.