Enrollment and Billing Analyst

Job Description

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 3, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc.

UHS) in 4. 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.

Learn more at :

Job Summary : The Enrollment & Billing Analyst for Membership Enrollment and Premium Billing plays a crucial role in supporting the functions of Prominence Health.

This position is dedicated to ensuring accuracy and compliance in premium billing, enrollment processes, and financial reporting.

The analyst will collaborate with various stakeholders, perform audits, and contribute to the improvement of processes. This role requires a detail-oriented professional with expertise in financial transactions, data analysis, and enrollment processes.

Benefit Highlights :

• Loan Forgiveness Program
• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans

K) with company match and discounted stock plan

• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its + Subsidiaries! · More information is available on our Benefits Guest Website : benefits.uhsguest.com

About Universal Health Services :

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc.

UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune;

and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.

S. States, Washington, D.C., Puerto Rico and the United Kingdom.

Qualifications

Qualifications and Requirements :

• High school diploma or equivalent required. Associates degree preferred.
• 1 to 3 years’ experience. Basic knowledge of Medicare regulations, experience in Managed Care Enrollment (MA, MAPD and PDP), Other Skills : Must possess previous experience processing Medicare Advantage enrollment applications and generating letters
• Ability to effectively communicate in English, both verbally and in writing.
• Previous experience reviewing and analyzing statistical data to identify trends as well as potential problems / opportunities for improved service quality.
• Experience working with CMS contracted vendors and systems, such as Retroactive Processing Contractor (RPC), Wipro, MARx, etc. is preferred.
• Experience in computer operations including troubleshooting experience and preferably electronic data interchange experience.
• Ability to analyze statistical data and recognize problems or potential problems and take appropriate steps to resolve the problem.
• Self-starter with the ability to recognize priorities and manage workload accordingly.
30+ days ago