Beneficiary Services Representative (PEBLO)

Posted 13 Days Ago
Be an Early Applicant
83648, Mountain Home AFB, ID, USA
In-Office
22-24 Hourly
Entry level
Healthtech • Professional Services • Business Intelligence • Consulting
The Role
Supports military members, veterans, and families by explaining medical benefits, coordinating healthcare needs, advocating for beneficiaries, and liaising with healthcare providers, case managers, VA, and other agencies. The role prepares reports, briefings, trainings, appeals, and rebuttals; advises members and staff on medical evaluation board findings; coordinates legal counsel and emergency or appeal-related travel; and maintains organized records while ensuring compliance with policies and procedures.
Summary Generated by Built In

About Us

Mindleaf Technologies, Inc is committed to assisting military medical professionals with providing excellent and quality patient care.

Headquartered in Lowell, MA, we have been supporting military health professionals for over 20 years through federal contracts with the DOD, DHA, & VA to provide administrative support in military treatment facilities (MTFs) nationwide.

Why work for MindLeaf?

  • Meet new people.
  • Paid Health and Ancillary benefits
  • 11 paid Federal holidays
  • Paid Federal sick leave
  • Tuition Assistance
  • Weekends off
  • Up to 2 weeks paid time off (after 1 year of employment) and up to (2) Bonus Days during 1st Year

We are always looking for top talent that enjoy making our Service Members and Veterans smile, are empathetic, and have a positive "can do" attitude. If this is you, apply with us, today!

Qualifications

Do you have a desire to support our Service Men & Women and veterans?

Do you have knowledge and understanding of medical benefit plans and programs?

Do you enjoy advocating for others?

Are you able to adapt?

Do you have strong organizational & time management skills?

If you answered "yes", then, we are looking for you!

As a Beneficiary Services Representative you will be responsible for supporting, guiding & advocating for military members to ensure awareness of medical benefit plans & programs and coordinating their healthcare needs. Skills and qualities that we are looking for either in a civilian or military environment:

  • This is a federally contracted position which requires U.S. Citizenship (Born in the US or its territories (includes Puerto Rico, Guam, US Virgin Islands), Born Abroad of US Parents, Naturalization).
  • Ability to complete and pass a background investigation.
  • Customer service experience helping patients navigate their healthcare needs.
  • Ability to manage systems for organizing, tracking and storing data and files.
  • Ability to manage, organize, and plan quality assurance procedures within a clinic and/or hospital environment to meet program objectives.
  • Ability to apply written policies and procedures while adapting them to individual situations for Service Men & Women and Veterans.
  • Understand legal type processes to ensure compliance with medical evaluation board requirements.
  • Ability to conduct routine analysis on data and performance standards.
  • Ability to serve as a liaison with multiple agencies (Veterans Affairs, Wounded Warrior Program), healthcare providers, case managers, and patient advocates to coordinate and assist with continuity of care for service members.
  • Ability to provide guidance to all types of beneficiaries such as the primary beneficiary & family members, to ensure they are aware of their rights, obligations, benefits, & privileges.
  • Ability to provide reports, briefings, and trainings and responds to inquiries.
  • Ability to advise members and medical staff of board findings.
  • Ability to coordinate patient travel for members opting to appeal.
  • Ability to assist in preparing appeals and rebuttals and coordinates the assignment of legal counsel.
  • Ability to initiate actions to facilitate Emergency Travel arrangements for seriously ill or injured members.
  • Ability to learn custom and/or new software systems with minimal challenges.
  • Is proficient with MS Office Suite and other related software.
  • Have/had an affiliation with military desired.

Education:

  • Associate Degree in business administration, management or health care organizations from an accredited college or university preferred.

Experience:

  • Military or healthcare background preferred.
  • Customer service-focused.

Work Environment/Physical Requirements:

  • The work is primarily sedentary. Requirements include prolonged walking, standing, sitting or bending.

MindLeaf is a proud participating Member of the Military Spouse Employment Partnership and encourages our military spouses to apply.

MindLeaf Technologies Inc is an Equal Opportunity Employer and does not discriminate against candidates or employees based on race, color, religion, sex, national origin, age, pregnancy, disability, veteran status, genetic history, or any other protected status.

Skills Required

  • U.S. citizenship
  • Ability to complete and pass a background investigation
  • Customer service experience helping patients navigate healthcare needs
  • Ability to organize, track, and store data and files
  • Ability to organize and plan quality assurance procedures in a clinic or hospital environment
  • Ability to apply written policies and procedures to individual situations
  • Understanding of legal-type processes and medical evaluation board requirements
  • Ability to analyze data and performance standards
  • Ability to liaise with multiple agencies, healthcare providers, case managers, and patient advocates
  • Ability to guide beneficiaries regarding rights, obligations, benefits, and privileges
  • Ability to provide reports, briefings, and trainings and respond to inquiries
  • Ability to advise members and medical staff regarding board findings
  • Ability to coordinate patient travel for members appealing decisions
  • Ability to assist with appeals and rebuttals and coordinate legal counsel
  • Ability to initiate emergency travel arrangements for seriously ill or injured members
  • Ability to learn new software systems with minimal difficulty
  • Proficiency with Microsoft Office Suite and related software
  • Associate degree in business administration, management, or healthcare organizations
  • Military or healthcare background
  • Military affiliation
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The Company
300 Employees

What We Do

MindLeaf Technologies, Inc. is a healthcare services firm offering health information management, medical compliance, revenue cycle management, and medical coding and auditing. Since 1993 it has delivered analytics-driven, managed medical support to hospitals, clinics, payers and federal healthcare programs (including DOD/VA), focusing on accuracy, regulatory compliance, and operational improvement.

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