USACares Jobs

Job Information

P&A Group COBRA and Premium Billing Specialist in Buffalo, New York

Under limited supervision, provide clients and participants with COBRA\Direct Billing services while remaining compliant with COBRA regulations. Collateral responsibilities may include training, new case implementation, and providing direction and assigning tasks to others as appropriate. This position will require interaction with clients and participants through phone call, emails, and fax communication regarding their accounts.

Coordinates and administers assigned case load pursuant to service level agreements and compliance requirements

Communicate with clients, brokers, insurance carriers, TPAs and other vendors via phone and email to resolve and troubleshoot participant issues and provide clarification

Maintain, process and update participant’s accounts including benefit change and payment allocations within P&A’s software

Ensure participant changes are processed timely and accurately with the insurance carriers/clients

Process open enrollments, including updating rates, benefits, carrier information, invoicing participants

Assist and support Customer Service Department and data team with plan questions and escalated issues

Exercise independent judgement on a limited basis related to billing and eligibility taking into consideration P&A, carrier and client guidelines

Keeps the Group Insurance Manager fully informed on all problems or unusual matters of significance and escalates when necessary

Minimum Requirements

High School Diploma or equivalent


Knowledge of Federal and State COBRA laws and eligibility laws

Knowledge of HIPAA with thorough understanding of HIPAA portability provisions and HIPAA privacy and security rules

Thorough knowledge of all internal processes and software applications related to Group Insurance Department functions

As competence and job knowledge grows, provide training, guidance and support to less senior colleagues

Solid oral and written communication skills with ability to convey a message with diplomacy and tact

Ability to effectively interact, present information, and respond to questions from customers, colleagues and management

Ability to effectively manage multiple priorities utilizing effective organizational and time management practices

Basic understanding of accounting principles related to AR/AP

Strong Microsoft Office Skills - Excel and Word

Working Conditions

Fast paced work environment; flexibility to work schedules as required due to changing business demands. Occasional overtime is required. The work environment is moderately sedentary and typical of general office conditions with regard to standing, sitting, walking and lifting; no adverse conditions.

An equal opportunity employer and a smoke, drug and alcohol-free workplace.