Find your next role
Strengthen your profile
This role provides essential support to Prisma Health Team Members regarding benefits, ensuring accurate information and compliance with policies. You will engage with employees through various communication methods and contribute to process improvements within the benefits department.
Prisma Health
See how your profile stacks up against this role.
We compared the job requirements to your profile to show where you're strong and where you fall short.
Inspire health. Serve with compassion. Be the difference.
Job Summary
Provides service and support to Prisma Health Team Members on benefit related matters. Maintains knowledge of Prisma Health benefits, policies, plans and applicable state and federal laws. Identifies process improvement opportunities, recommend improvements and participate in the implementation and evaluation of process changes.Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference
Follows pre-defined processes to ensure all benefits are accurately reflected in all systems. Ensures that payroll deductions are correct.
Provides service to all Prisma Health Team Members on benefit related matters. Escalates issues to the appropriate level in a timely manner.
Coordinates with outside parties to resolve problems of eligibility, incorrect billing, cancellations, plan changes, etc.
Makes routine assessments during interactions with customers to identify relevant trends and provide input for developing workflow plans.
Manages sensitive and confidential matters, protecting the security of the information, data and files.
Communicates and educates Team Members in live settings to include one-on-one meetings, group meetings and online webinars.
Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that report to a supervisor, manager, director or executive.
Minimum Requirements
Education - High School diploma or equivalent.
Experience - One (1) year benefits, human resources, customer service experience.
In Lieu Of
NA
Required Certifications, Registrations, Licenses
NA
Knowledge, Skills and Abilities
Computer skills (Proficient Microsoft Office Suite skills, data entry)
Mathematical skills
Work Shift
Day (United States of America)Location
Independence PointeFacility
CorporateDepartment
BenefitsShare your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Senior Claim Benefit Specialist Operations (Encounters)
CVS Health · 1 day ago
Remote from United States, Alabama (USA), Arizona (USA), Arkansas (USA), Colorado (USA), Connecticut (USA), Delaware (USA), Florida (USA), Georgia (USA), Idaho (USA), Illinois (USA), Indiana (USA), Iowa (USA), Kansas (USA), Kentucky (USA) · Full time
Sr. Claims Specialist, Medical Malpractice | Professional Liability
Sedgwick · Today
Remote from United States · Full time
Sr. Claims Specialist, Medical Malpractice | Professional Liability
Sedgwick Ireland · Today
Remote from United States · Full time
Sr. Claims Specialist, Medical Malpractice | Professional Liability
EFI Global · Today
Remote from United States · Full time
Multi State Medical Only Claims Specialist
AdventHealth · 1 day ago
Remote from United States · Full time

Prisma Health

Prisma Health

Prisma Health