MB-3066 - USA (Connecticut) - RFI for Health Benefit Administrative Services - Deadline May 30,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3066

Government authority located in Connecticut, USA; based organization looking for expert vendor for health benefit administrative services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide health benefit administrative services for Medicare retiree population.
- Provide a call center with a toll-free number and extended seasonal hours as needed.
- Serve as an advocate for health plan members and other stakeholders.
- Assist health plan members with routine benefit questions and other administrative services such as but not limited to ordering duplicate cards, review of benefit plan designs and covered benefits, as well as all other general benefit questions.
- Manage, troubleshoot, resolve claim issues, assist members as needed regarding the appeals process and notify of any potential systemic system issues.
- Audit and reconcile quarterly enrollment and discrepancy reports, billing, claims, and eligibility for dependents and former spouses.
- Partner with stakeholders to assist with administrative needs or benefit questions.
- Attend open enrollment sessions in Connecticut by one or more team members.
- Review open enrollment member communications.
- Provide monthly call volume and claim issue reports.
- Social Security, Medicaid, Medicare Savings Programs, COBRA, health reimbursement accounts, coordination of benefits, dental, vision, hearing riders and Low-Income Subsidy. (2) All questions must be submitted no later than May 10, 2019.

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Thursday, 30 May, 2019

Category : Medical Billing and Coding

Country : USA

State : Connecticut

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