
COBRA Operations Specialist I
Required skills
- COBRA
- Direct Bill
- HIPAA
- HITECH
- Section 125
- background investigation
- computer proficiency
- administrative software
- 10 key
- keyboard
Nice to have
- troubleshoot
- issue resolution
- account discrepancies
- tier 3 escalations
- member plans
- employer plans
Role summary
The COBRA Operations Specialist I will be responsible for maintaining knowledge of COBRA and Direct Bill functions, serving as an internal resource for troubleshooting and issue resolution. This role involves communicating with internal departments, employers, and third-party vendors to resolve account discrepancies and process files accurately. Key responsibilities include managing member and employer plans, creating efficiencies, and ensuring timely resolution of requests and escalations. The specialist will also assist with special projects and adhere to security and regulatory policies like HIPAA and HITECH.
How you’ll make an impact
Must adhere to security policies
Maintain detailed knowledge in function area(s) related to COBRA and Direct Bill
Serve as an internal resource, troubleshoot questions and provide issue resolution using product, file and system knowledge
Serve as a knowledgeable contact for internal departments
Communicate with other teams and employers through case management to resolve account discrepancies
Responsible for solving cases and resolving tier 3 escalations
Create, update and maintain member plans and balances
Create, update and maintain employer plans
Process incoming files and accurately report errors
Facilitate peer training when requested
Identify trends to improve employer's, consultant's, partner’s and third-party vendor's experience
Ensure requests made by internal departments, consultants, brokers and employers are resolved in a timely manner
Attend regularly scheduled one on one meetings with direct supervisor for professional development and goal setting
Work with your team, other departments and case management employer communication to ensure a positive customer experience
Create efficiencies and improve processes for employers, consultants and third-party vendors
Maintain a continuous improvement approach to work
Participate in ongoing learning, development opportunities and sharing of knowledge
Maintain attendance and punctuality standards
Maintain expected quality and performance metrics
Must participate in team meetings and one on ones via video and phone
Assist with special projects
General Duties:
All other duties as assigned
Assist with special projects
Continually work on improving departmental workflow
Maintain policy according to HIPAA
Experience you’ll bring
Minimum Required Qualifications for Consideration
Preferred Qualifications
Must pass a successful background investigation
Experience with computer proficiency
Experience with Section 125, HIPAA and HITECH Regulations
Experience with administrative software, computer proficiency and 10 key/keyboard
Originally posted on Himalayas
Similar roles
Senior Director, Semantic Data PlatformWEX · Remote · Hybrid
Sr Director, Payments SREWEX · Remote · Hybrid
Fuel Operations SpecialistHillwood Construction Services · Fort Worth, TX · Onsite
Support Services Business Operations SpecialistBooz Allen Hamilton · Chantilly, VA · Onsite
IT Operations SpecialistAISIN World Corp. of America · Cibolo, TX · Onsite
HR Operations SpecialistThe One 23 Group · Herndon, VA · Hybrid
