Benefits Coordinator

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.

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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.

• 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!

• 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.