Benefits Coordinator
Prominence Health, Reno, NV, United States
Job Summary
The Benefits Coordinator (Revenue Project Coordinator - COB) will focus on Medicare Secondary Payer (MSP) claims, Coordination of Benefits (COB) claims, and medical coverage overlaps with other insurance carriers to ensure accuracy of claims payments. Investigate and analyze Medicare Secondary Payer demands for coordination of benefits with Medicare. Reviews cases to determine primary liability when not established. Maintains system information regarding coverage overlaps and primacy to ensure correct coordination occurs with Medicare. Research claims history to identify previously paid claims for recovery.
Responsibilities
Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.
Benefit Highlights
Loan Forgiveness Program
Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
SoFi Student Loan Refinancing Program
Career development opportunities within UHS and its 300+ Subsidiaries
More information is available on our Benefits Guest Website: benefits.uhsguest.com
Qualifications
High School diploma; Bachelor’s degree preferred
2-4 years of related experience in COB/TPL or other healthcare related field
Advanced SQL skills to aid in identification of cases to be worked
Knowledge in working with third party payers
Knowledge of the MSP process
Program and Project Management skillset
Capable interpersonal skills to easily establish rapport with provider office staff
Self-starter with an ability to work autonomously, managing own workload to drive results
Highly organized with attention to detail
Demonstrated ability to follow through on project work
Able to learn key concepts and processes quickly
Microsoft Office proficient (Excel, Word, Outlook) and/or Smartsheet
Resourceful with ability to find and optimize additional revenue
Performs other duties as assigned or required
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Avoid and Report Recruitment Scams. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
#J-18808-Ljbffr
The Benefits Coordinator (Revenue Project Coordinator - COB) will focus on Medicare Secondary Payer (MSP) claims, Coordination of Benefits (COB) claims, and medical coverage overlaps with other insurance carriers to ensure accuracy of claims payments. Investigate and analyze Medicare Secondary Payer demands for coordination of benefits with Medicare. Reviews cases to determine primary liability when not established. Maintains system information regarding coverage overlaps and primacy to ensure correct coordination occurs with Medicare. Research claims history to identify previously paid claims for recovery.
Responsibilities
Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.
Benefit Highlights
Loan Forgiveness Program
Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
SoFi Student Loan Refinancing Program
Career development opportunities within UHS and its 300+ Subsidiaries
More information is available on our Benefits Guest Website: benefits.uhsguest.com
Qualifications
High School diploma; Bachelor’s degree preferred
2-4 years of related experience in COB/TPL or other healthcare related field
Advanced SQL skills to aid in identification of cases to be worked
Knowledge in working with third party payers
Knowledge of the MSP process
Program and Project Management skillset
Capable interpersonal skills to easily establish rapport with provider office staff
Self-starter with an ability to work autonomously, managing own workload to drive results
Highly organized with attention to detail
Demonstrated ability to follow through on project work
Able to learn key concepts and processes quickly
Microsoft Office proficient (Excel, Word, Outlook) and/or Smartsheet
Resourceful with ability to find and optimize additional revenue
Performs other duties as assigned or required
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Avoid and Report Recruitment Scams. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
#J-18808-Ljbffr