Why Mount Carmel?
Mount Carmel Health Partners (https://www.mountcarmelhealthpartners.com/) is a high-performing, innovative clinically integrated network that will lead Central Ohio in transforming healthcare from fee for service to fee for value through exciting, cutting edge initiatives that support our desire to be the risk-bearing provider group that achieves triple aim – improving healthcare outcomes, lowering healthcare expense, and improving patient experience.
We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in return is that you come to work ready to make a difference and do the right thing.
What we offer:
Competitive compensation and benefits packages including medical, dental, and vision coverage
Retirement savings account with employer match starting on day one
Generous paid time off programs
Employee recognition incentive program
Tuition/professional development reimbursement
Relocation assistance (geographic restrictions apply)
Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing
The nation’s 14th largest city, Columbus, Ohio is one of the fastest growing major metropolitan areas in the Midwest – ranked #1 for population growth, #1 for job growth, #1 for wage growth, and #1 real estate market. And with a vibrant blend of professional sports, world-class attractions, creative cuisines, and a flourishing music and arts scene, you’ll never be found wanting for entertainment and experiences to call your own in Columbus. Learn more at www.experiencecolumbus.com !
About the job:
The Contracts/Benefits Configuration Specialist position performs a variety of analytical and configuration functions relating to contracts/benefits within the adjudication platform.
Works collaboratively with other areas within the Health Plan to determine the needed changes as well as the impact on other areas.
Responsible for issue resolution and testing changes.
What you’ll do:
Communicate critical information clearly, accurately, honestly and concisely.
Serve as a primary resource for the Audit staff.
Recommend actions designed to impact improvement.
Participate in designated committees and work groups.
Participate in activities which will promote professional growth and development.
Perform other duties/functions of the Audit Team as needed.
What we’re looking for:
Education: Associate or Bachelor’s degree preferred.
Licensure / Certification: CPC or equivalent certification required.
Experience: 5 years medical claims or relevant health insurance.
Effective Communication Skills.
In depth understanding of Medicare & Medicare Advantage.
Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law.
Trinity Health’s Commitment to Diversity and Inclusion
Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health’s dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation, serving diverse communities that include more than 30 million people across 22 states. Trinity Health includes 94 hospitals, as well as 109 continuing care locations that include PACE programs, senior living facilities, and home care and hospice services. Its continuing care programs provide nearly 2.5 million visits annually.
Based in Livonia, Mich., and with annual operating revenues of $17.6 billion and assets of $24.7 billion, the organization returns $1.1 billion to its communities annually in the form of charity care and other community benefit programs. Trinity Health employs about 133,000 colleagues, including 7,800 employed physicians and clinicians.
Committed to those who are poor and underserved in its communities, Trinity Health is known for its focus on the country’s aging population. As a single, unified ministry, the organization is the innovator of Senior Emergency Departments, the largest not-for-profit provider of home health care services — ranked by number of visits — in the nation, as well as the nation’s leading provider of PACE (Program of All Inclusive Care for the Elderly) based on the number of available programs. For more information, visit www.trinity-health.org . You can also follow @TrinityHealthMI on Twitter.
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