| Job Title: Coordinator of Benefits Specialist Location: Justin Drive II Department: Customer Service Schedule: Days Work Type: Full Time Job Summary: Assists Customer Service Improvement Team Leader by providing direct back up support to the Customer Service Improvement Team in the areas of COB and Subrogation by actively participating in cross training, improving processes within the team and contributing in staff meetings. Performs duties to support the goals and objectives of the Geisinger Health Plan in its efforts to provide quality member care and member satisfaction. Reports directly to the Customer Service Improvement Team Leader. Works in cooperation with Geisinger Health Plan staff (i.e., Information Systems, Credentialing, Provider Network Management, Quality Assurance Coordinator/Trainers [QACT]) as needed. Competencies and Skills: Demonstrates keyboard experience. Demonstrates computer skills including proficiency in Microsoft Word, Business Objects, Vignette and Excel. Demonstrates experience with the Amisys system. Demonstrates ability to read, interpret and extract information (financial arrangements, benefits, etc) from provider and insurer contracts. Demonstrates working knowledge of UB04/UB92, CMS1500/HCFA1500 claim forms, CPT-4, HCPCS, Revenue Codes and ICD-9 coding. Demonstrates ability to be highly organized, with an aptitude for administrative detail and a high regard for clerical accuracy. Demonstrates excellent oral and written communication skills. Demonstrates ability to multi-task, prioritize workload and problem solve. Education and or Experience: Minimum 2 years of customer service experience required, including at least 6 months in healthcare or health insurance. Operational knowledge of Geisinger Health Plan insurance coverages, types of benefit plans and types of delivery services required. Successful completion of an approved medical terminology course within twelve months of employment, if made available, required. Experience in dealing with support services (i.e. information systems, finance, credentialing and health care providers) preferred. Working Conditions/Physical Demands: Work is typically performed in an office environment. The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. ABOUT GEISINGER: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter. ** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status. *Domestic partner benefits not applicable at Geisinger Holy Spirit. | 
