• A/R & Benefits Enrollment Representative

    Job Locations US-IL-Aurora
    Posted Date 2 months ago(4/5/2018 4:41 PM)
    # of Openings
  • Overview




    Looking for a way to influence the health and healthcare of many?


    If so, we’d love to hear from you! Our mission-driven organization is focused on theTriple Aim - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans.


    UNITE HERE HEALTH serves 100,000+ workers and 220,000 covered lives in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!



    Key Attributes:


    • Integrity – Must be trustworthy and principled when faced with complex situations
    • Ability to build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships required
    • Communication – Ability to generate concise, compelling, objective and data-driven reports
    • Teamwork – Working well with others is required in the Fund’s collaborative environment
    • Diversity – Must be capable of working in a culturally diverse environment
    • Continuous Learning – Must be open to learning and skill development.  As the Fund’s needs evolve, must be proactive about developing new areas of expertise
    • Lives our values – Must be a role model for the Fund’s BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect)



    This position is responsible for processing regulatory documents and information as it pertains to participants and their dependents. The representative will also process Qualified Medical Child Support Orders (QMCSO) by assessing the validity of the orders, responding to the agencies timely, adding dependents, and tracking eligibility. This position may also be involved in all aspects of Consolidated Omnibus Budget Reconciliation Act (COBRA) administration, including processing notices, applications and payments.


    Essential Job Functions:

    • Reviews, assesses, and processes forms related to the administration of QMCSO and COBRA
    • Determines if the participant’s plan provides access to dependent coverage, and meets the requirements of the QMCSO
    • Inputs the cost of the coverage required and works with the participant’s employer to determine if the cost of dependent coverage meets any applicable affordability threshold
    • Processes orders and enrollments by notifying agencies, participants and employers
    • Updates appropriate systems to track compliance and ensures that coverage is provided in accordance with the terms of the QMCSO
    • Reviews the QMCSO eligibility list for correctness of qualifying information and eligibility
    • Reviews the weekly COBRA & Health Insurance Portability and Accountability Act (HIPAA) eligibility list for correctness of qualifying events
    • Updates participant QMCSO and COBRA election information to create required written notices to governing agencies and participants. Generates and mails manual COBRA/HIPAA letters upon request of participant
    • Receives, balances and allocates daily participant COBRA payments and provides daily deposit information to the Accounting Department
    • Maintains all QMCSO and COBRA/HIPAA files, including enrollment and payment documents
    • Receives, imports, and balances contribution reports and applies payments and adjustments as applicable
    • Inputs principal liabilities and cash received accurately in system
    • Receives, balances, and allocates daily cash receipts and provides information to the Accounting Department
    • Receives, balances and allocates daily participant/dependent payments and provides daily balancing reports to the Accounting Department.
    • Ensures that eligibility is updated timely to prevent problems with participants/dependents seeking care
    • Escalates recurring issues that delay eligibility to management
    • Performs internal and external customer service activities related to the administration of QMCSO and COBRA
    • Performs other duties as assigned within the scope of responsibilities and requirements of the job
    • Performs Essential Job Functions and Duties with or without reasonable accommodation


    • High School Diploma or GED equivalent
    • Some college coursework preferred
    • 1 ~ 2 years of direct experience minimum with health benefits: audit and billing procedures, reconciliation of payments, eligibility rules including dependent coverage, COBRA and HIPAA Regulations, and customer service
    • Working knowledge and experience in administration of QMCSO & COBRA preferred
    • Working knowledge and experience in administration of welfare plan benefits, Employee Retirement Income Security Act (ERISA), QMCSO, COBRA, HIPAA, audit and billing procedures, and Collective Bargaining Agreements in a Third Party Administrator (TPA) or Health Plan environment

    Skills and Abilities:

    • Intermediate level Microsoft Office skills (PowerPoint, Word, Outlook)
    • Intermediate level Microsoft Excel skills
    • Preferred fluency (speak and write) Spanish
    • Communication (written and verbal) skills, organizational, team, and customer service skills
    • Analytical, deductive reasoning, problem solving, attention to detail and decision making skills
    • Excellent math aptitude and attention to detail are a must
    • Ability to manage competing deadlines and multiple tasks 



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