Transplant/Bariatric Benefit Specialist - (Wallingford, CT)- 63561
WellPoint - Wallingford, CT

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Anthem Blue Cross and Blue Shield is a proud member of the WellPoint family of companies. At Anthem, we are dedicated to our mission of improving the health of the people we serve. We believe the best health care coverage can actually help people stay healthy.

Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.

Location : Wallingford, CT

The Transplant/Bariatric Benefits Specialist is responsible for ensuring accurate transplant and bariatric benefit administration for Anthem’s 14 states including National, FEP, Senior, Medicaid and Healthlink business. Interfaces daily with providers and members to resolve benefit issues and provide education where needed. Responsible for analyzing components of benefits and alerting management of risks. Primary duties may include, but are not limited to:

Interprets benefits and interfaces with members and providers to give benefit information.

Prepares individual benefit quotes for members and providers for transplant services. Identifies high risk cases and alerts management.

Interfaces with internal and external representatives on benefit language.

Updates the appropriate medical management system with accurate benefit, group and provider information.

Job Qualifications

Position requires High School diploma

3-5 years related experience; knowledge of health benefits and medical terminology

Ability to work and make independent decisions timely and accurately

Good customer service skills, including conflict resolution; or any combination of experience, which would provide an equivalent background.

Associates degree preferred.

Must be able to work with multiple systems.

WellPoint is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine, one of the 100 Best Places to Work by Working Mother magazine, and is a 2011 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at www.wellpoint.com/careers . EOE

Once an offer is accepted, all external applicants are subject to a background investigation
and if appropriate, drug testing. Offers of employment shall be contingent upon
passing both the background investigation and drug testing (if required).

  • Current WellPoint associates: All referrals must be submitted through the formal
associate referral process on WorkNet. Official guidelines for the associate referral
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WellPoint, Inc. (WellPoint) is a health benefits company serving 35 million medical members, as of December 31, 2008. The Company is an...