About this role
Customer Service Calls Actively answer and/or direct customer service calls by employees (both former and active) and dependents of employees (both former and active). Assist in communicating the repayment plan to the members enrolled in the QTHMO plan. Explain financial responsibilities for services rendered payment options and collections procedures to employees or parties responsible for payment. Communicate the payment plans and options with the employees or responsible parties. Prepare correspondence and fulfills customer needs to ensure customer satisfaction. Provide back up to the Claims Examiners regarding customer service calls by medical and dental providers, including claim status requests and verification of medical and dental benefits. Return benefits emails and faxes. Return benefit & provider messages. Respond to requests for replacing lost insurance cards, additional forms/information, and copies of EOBs (Daily or as occurs). 40% of total job Frequency of function: Daily Administer Premium Billing for Health Plan copayments and deductibles. Generate and print invoices. Reconcile correct charges and refunds. Investigate invoice issues. Submit refunds to payroll when necessary and adjust Premium Billing. Administer final deductions for employees’ last paycheck with Payroll. Maintain exceptions list due to rate reductions for approved appeals. Administer AR deduction rate increases when necessary. Administer deductions for MedWise/BubbleBath employees in separate Payroll systems. Reporting copay charges for Executive employees. Reporting AR balances, collections, and deduction amounts. Initiate process for collecting payments due. (Daily) Assisting with payment website. Collect and processing checks. (Weekly) Report checks information to the Treasury Department. Maintain accurate documentation of processing information. (Daily) Follow-up activity to ensure maximum collection is achieved. (Weekly) Identify and resolve production issues related to the payment system. (Daily) Escalate high complexity billing issues, at any stage in the negotiation or collection process, for resolution to the Benefits Supervisor. (Daily) 20% of total job Frequency of function: Daily Administrative Support - Health Plan Process Health Plan Enrollments Enter and approve daily all enrollment requests, (including dependents/beneficiaries) for QT sponsored health plans, including: QT Dental/Vision Plan Basic Life Insurance Plan Flexible Spending Accounts Voluntary Benefits All Plans internal and external Enter the appropriate DBA codes for payroll deduction. Calculate back premiums and refunds as appropriate. Send new enrollment packets and request letters/follow up. 45-Day Insurance Reminder. Perform weekly download from JDE. Send reminder letters, waivers, and enrollment form to eligible employees. Look back for PT hitting one year of service. Perform monthly report from JDE. Send letters to those that qualify with eligible hours. Monthly re-verify PT look back eligibility. Review hours. Send letter to those that insurance cancelled. Auto Enrollment. Weekly verify employees 90th day of FT. Send letters, cards, and correspondence to those that are eligible. Note Pay-to and rendering providers into BSTI. Dependent social security quarterly requests. Send correspondence to those missing dependent social security numbers. Status changes received from payroll. Transfers received from payroll. Shut down termed employees DBA’s report from payroll (weekly). Process W9 Forms from Providers (Daily). New Enrollment packets and request letters/follow up (weekly). 20% of total job Frequency of function: Varies Payroll Corrections and Missed Health Premiums. Researching missed health premiums within Payroll system. Reporting and tracking the Flex plans missed deduction amount for the employees. Track all corrections and payments for the Health Plan. Process payments received. Report checks information to the Treasury Department. Set up all missed deductions in E1. Administer missed premiums for MedWise employees in separate Payroll system. Issue Refunds and set up back premiums from enrollment forms/enrollment errors. Communicate missed health premiums. Employee mailings at 4 and 6 weeks. Create and send arrearage report to payroll for E1 adjustments. Send payroll correction amounts to the payroll department. Terminate Health plans for non-payment. 10% of total job Frequency of function: (Weekly) Collect, review, input and report employee account balances in computer system. Reconcile all returned checks that are entered in the system. Work with credit card system to reconcile payments. Work with Payroll to reconcile payroll deduction payments against account balance. Send correspondence to employees after 60 days of nonpayment. (Weekly) Review collection accounts at 90 days of nonpayment. (Weekly) Audit members that need to be sent to collections. (Weekly) Send employees to collections after 90 days of nonpayment. (Weekly) Generate collection invoices in Premium Billing. Track and apply payments received from third party collections agency. (Bi-Monthly) Communicate regularly with third party vendor on collection accounts. (Weekly) Create reporting for HR management to understand outstanding balances and collection tracking. (Weekly) 5% of total job Frequency of function: Monthly Departmental Support (Benefits) File correspondence for Benefits area of HR. File American Health Holding Correspondence and note claims system. Support QuikMed as assigned. Including but not limited to special projects, research, and training opportunities. Assist with the referral coordination program. Assist in Departmental projects/research. Assist with preparation for open enrollment. 5% of total job Frequency of function: Weekly Primary Purpose of the job Answer and direct customer service calls related to Benefits and Accounts Receivable for the Health Plan. Responsible for completing administrative and clerical duties related to the daily operations of supporting Benefits and Accounts Receivable. Required Education High school graduate or equivalent. Required Experience Two years clerical experience, preferably in a fast-paced Human Resources, Benefits, or medical environment; or one year clerical experience with one year work experience in QT Stores. Position in Organization Reports to: Benefits Supervisor Relationship Inside the Company: All QuikTrip employees, spouses, and dependents Outside the Company: Hospitals, doctors, dentists, and vendors Estimated Time Spent on Computer Majority of the workday. Confidential Info Accessible to this Person This position has access to confidential medical and payroll information for any employee who has filed a claim. Additional Criteria for Scope & Impact of Position Must be able to handle confidential information. Must be organized and very accurate. Errors are very serious and can lead to lawsuits. Starting Salary: $25.77-$28.04 Benefits: Employee Benefits – QuikTrip #LI-MI1