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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:

Claims Prep/Provider Maintenance Specialist

What we need from you

Technical Skills

  • Proficient in Microsoft Office Suite products.
  • Must meet production and quality standards per department guidelines.

Soft Skills

  • Excellent organizational skills and attention to detail.
  • Effective communication skills; verbal, non-verbal and written.
  • Passion for growth; bringing insights to the business and identify areas of opportunity to enable growth.

What you'll be doing

Day to day

  • Maintaining various claims reports and queues.
  • Pre-log data entry faxes and save to shared drive.
  • Pre-log claims.
  • Updating networks for third party vendors.
  • Complying with data integrity and security policies.
  • Add and/or update provider information in claim system.
  • Performing other duties as assigned to support PBA’s Mission, Vision and Core Values.

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.

Software Engineer

What we need from you

Technical Skills

  • 3 to 5 years of programming plus C# (.Net Framework and/or .NET Core), ASP.NET, MVC, Entity Framework and Microsoft SQL Server (T-SQL, stored procedures). Responsive front-end development – HTML, CSS, JavaScript (Bootstrap, jQuery).
  • Scrum/Agile development methodologies is helpful but not required.
  • Experience with TFS and Visual Studio Team Services is helpful but not required.
  • Bachelor's degree in Information Systems, Computer Science or related field.

Soft Skills

  • Ability to work independently or as part of a team.
  • Effective communication skills; verbal, non-verbal and written.
  • Excellent organizational and analytical skills demonstrated in problem-solving.
  • 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.

What you'll be doing

Day to day

  • Developing applications in a team environment.
  • Building on standardized data sets and tools to improve efficiencies in PBA’s workflow.
  • Documenting and recording all steps involved in development of applications.
  • Assisting in the planning of projects and helping determine steps and timelines to meet PBA’s goals.
  • Analyzing and introducing relevant emerging technologies to the business.
  • 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