Lifetime Benefit Solutions

Job Description: Summary: The Purchasing Specialist manages the processes and tools for automated and stand-alone procurement systems and communicates throughout the organization as needed. Incumbent works pro-actively with supply base and supports and/or leads strategic sourcing efforts. The specialist will possess comprehensive understanding of supplier contracts terms and conditions and the ability to translate these into applicable purchasing requirements. The position will provide reporting and analytics support for Enterprise Legal & Supplier Solutions and stakeholders. Additionally, this role will support corporate programs including Contingent Labor. Essential Primary Responsibilities/Accountabilities: All Levels: Receives and processes purchase order requests to promptly secure supplier-provided products and services. Proactively reviews and serves as customer point of contact in order tracking, purchase order matching errors and is a liaison to the Accounts...

Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and DRG assignment accuracy, insuring the physician documentation supports the hospital coded data. Essential Accountabilities: Level I • Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently....

Job Description: Summary: The Customer Service Representative resolves customer inquiries via telephone, fax, off-phone work, and email concerning, but not limited to, account benefits, claim payments, and enrollment in accordance with Operational Risk Audit (ORA), HIPAA, and other legislative requirements. This role requires participation in training immediately upon hire to become proficient in one line of business to independently perform the duties outlined below. Training in the second line of business must be initiated and completed within 12 months of proficiency in the first line of business to cross-functionally support the department. Initial line of business will be determined by the area of greatest need at time of hire. Essential Accountabilities: Level I • Researches, documents, interprets, and responds to inquiries from internal and external customers, business partners, and special groups concerning our products, services, and policies in accordance with ORA,...

Job Description: Summary: The FSA/HRA Plan Administrator responds to and resolves written, telephone, and personal inquiries from subscribers, groups, and providers concerning all departmental products, policies, and procedures in a professional and efficient manner. This position coordinates and monitors daily administrative activities regarding departmental products to ensure established standards and deadlines are met. Departmental Product Portfolio: Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), Health Savings Accounts (HSA), Transit and Parking, Student Loan, Tuition Reimbursement and Wellness Benefits. Essential Accountabilities: Level I Responds to all inquiries from an internal and external perspective completely, accurately, and timely and in a professional and efficient manner. Supports customer service team in researching member inquiries. Researches claims and determines claim eligibility in accordance with IRS regulations....