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Available Positions

These positions primarily operate in a professional office environment. However, due to COVID-19, in the interest of staff safety, Professional Benefit Administrators is utilizing a hybrid workforce.

We are currently hiring for the following positions:

Medical Claims Analyst

What we need from you

Technical Skills

  • Strong claim knowledge/understanding.
  • Proficient in Microsoft Office Suite products.

Soft Skills

  • Must be able to maintain a positive work atmosphere by behaving and communicating in a manner so that you get along with peers, customers, clients, and management.
  • Ability to work independently.
  • Excellent organizational skills and attention to detail.
  • Solid presentation, communication, facilitation, team building and decision-making skills.

What you'll be doing

Day to day

  • Processing medical, dental and vision claims.
  • Meeting monthly Quality and Production requirements.
  • Maintaining assigned block of business with minimal assistance.
  • Maintaining assigned block of business additional/priorities/CRM tasks in claims system with minimal assistance.
  • Assisting on non-assigned block of business with minimal assistance.
  • Advising Claims System Coordinators of incorrect benefit codes or any claim issues encountered when processing.
  • Reviewing and responding to Member Advocacy e-mails within 48 business hours.
  • Handling renewal groups/excess claims in a timely manner.
  • Performing other duties as assigned to support PBA’s Mission, Vision and Core Values.

Member Advocate

What we need from you

Technical Skills

  • Strong verbal communication skills along with being an active listener.
  • TPA/Insurance Company environment or medical billing office experience preferred.
  • Proficient in Microsoft Office Suite products.

Soft Skills

  • Must be able to maintain a positive work atmosphere by behaving and communicating in a manner so that you get along with customers, clients, co-workers, and management.
  • Must be a self-starter who is organized, sets priorities and manages time effectively.
  • Ability to quickly learn and adapt to new concepts/systems.
  • Ability to interface with various levels of the organization.

What you'll be doing

Day to day

  • Handling inbound phone calls and provide quality customer service to callers.
  • Placing follow up calls to members and providers.
  • Responding to portals and e-mails.
  • Maintaining a work knowledge of plan benefits.
  • Suggesting process improvement ideas.
  • Going the "Extra Mile" when necessary.
  • Performing other duties as assigned to support PBA’s Mission, Vision and Core Values.

To Apply

To apply for a job or submit a resume, please apply online: Apply Now