STRS Ohio · 2 months ago
Health Care Enrollment Coordinator
Columbus, Ohio
Full-time
Onsite
Entry, Mid Level
$27.45/hr - $27.45/hr
2+ years expSTRS Ohio is one of the nation’s largest retirement systems, serving over 500,000 educators. They are seeking a Health Care Enrollment Coordinator to research and resolve health care issues, coordinate enrollment, and ensure compliance with regulations.
AssociationFinancial ServicesNon Profit
Responsibilities
Process health care enrollment and eligibility in compliance with State Teachers Retirement System of Ohio (STRS Ohio) Administrative Rules and Centers for Medicare and Medicaid Services (CMS) regulations and ensure accurate enrollee billing
Collaboratively resolve member coverage issues as result of Medicare enrollment, acceptance into the Medicare Advantage Plan, Part D plan. Prioritize immediate access coverage issues
Discuss high level benefits, coverage and claims processing with enrollees and plan administrators
Work with internal and external parties including plan administrators, Medicare intermediaries and others to ensure each health care plan enrollee’s issue is handled appropriately
Utilize detailed knowledge of enrollment eligibility, 834 files (files shared between STRS Ohio and the plan administrator), pension processing system and vendor processing procedures to ensure the efficient, accurate enrollment and issue resolution
Cultivate and maintain a detailed knowledge of STRS Ohio health care benefits, rationale for program changes
Confer with department managers on complex escalated issues requiring thorough review and policy consideration
Qualification
Required
High school diploma or equivalent is required
Two to four years relevant work experience required
Comprehensive knowledge of Medicare enrollment guidelines, benefits and programs required
Interpersonal skills necessary to deal effectively and courteously with internal and external contacts required
Excellent organizational skills and a high degree of accuracy and attention to detail required
Preferred
Bachelor's degree in a related field preferred
Four or more years relevant work experience preferred
Experience explaining medical and pharmacy benefits to enrollees preferred
Benefits
On-site parking
Educational assistance
Subsidized medical insurance
Fully paid dental and life insurance
Vacation and sick leave
Retirement benefits
On-site fitness center
Company
STRS Ohio
STRS Ohio is one of the nation's premier retirement systems, serving nearly a half million active and retired Ohio public educators.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Lynn Hoover, CPA
Deputy Executive Director, Finance & CFO
Anita Brenner
A DIRECTOR OF HUMAN RESOURCE SERVICES
Recent News
Institutional Investor
2025-04-03
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