Responsibilities
Job Summary: Reporting to the Director of Payment Integrity this role is responsible for securing new revenue for Prominence Health Plan through intensive research and reconciliation of multiple programmatic work streams; these include Medicare as Secondary Payer and CMS' End Stage Renal Disease programs to start, with an opportunity to expand further into other programs. Conducts research to determine program eligibility, verifying whether successful registration has occurred, where it hasn't, and works with provider offices to ensure it does, finally tracing it through to CMS reporting to confirm registration.
Qualifications
Qualification and Requirements:
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.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
Job Summary: Reporting to the Director of Payment Integrity this role is responsible for securing new revenue for Prominence Health Plan through intensive research and reconciliation of multiple programmatic work streams; these include Medicare as Secondary Payer and CMS' End Stage Renal Disease programs to start, with an opportunity to expand further into other programs. Conducts research to determine program eligibility, verifying whether successful registration has occurred, where it hasn't, and works with provider offices to ensure it does, finally tracing it through to CMS reporting to confirm registration.
Qualifications
Qualification and Requirements:
- High School diploma or equivalent; Associates degree preferred
- 2+ years' experience, administrative, finance, or medical back office
- 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.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.