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Benefits Coordinator

Company: Prime Healthcare
Location: Ontario
Posted on: January 13, 2021

Job Description:

Overview PERFORMANCE ACCOUNTABILITY* Knowledgeable of Personnel Policies procedures and practices. Keeps self updated with new regulations applicable to the department. Knowledge of all employee benefits; including the functionality of a self funded medical plan. * Familiar with the Human Resources System as they apply to Human Resources Procedures. * Knowledgeable in proper customer service skills procedures. * Familiar with new regulations as they apply to day to day operations of the department. * Familiar with the coordination and management of employee benefits. * Familiar with ERISA, HIPAA and COBRA regulations. * Familiar with internal systems related to claims and benefits such as PsiMed, Meditech and on-line enrollment platforms.#LI-WG1Responsibilities DUTIES AND RESPONSIBILITIES * Maintains employee/members personnel files and other relevant files current as they apply to benefits. * Answer incoming phone calls from benefit members. Assist the member by answering questions related to benefits or direct the call to the appropriate extension. * Screens visitors, and mail. Handles all phone calls in a professional, courteous and friendly manner. * Assists with obtaining enrollment, deduction, PCP or any other benefit related reports and keeping members census data up to date. * Responds to the status of member and provider claim issues in a timely manner. * Maintains the benefits filing system keeping all documents HIPAA compliant. * Notifies all benefit coordinators of the quarterly PCP change periods. Provide sample memo and change form. Processes computer input of PCP changes as needed. * Assists with coordination of the annual benefits open enrollment. * Coordinates the distribution of annual notifications to employees / members; 5500 SAR and Summary Plan Description's. * Maintains intranet site for Corporate Benefits Department. * Coordinates ancillary RFP's for voluntary programs offered in the community (Gym / Fitness discounts, Employee Discount promotions, Credit Unions etc.) * Assists former employees with COBRA questions and direct them to the appropriate vendor. Ensures that information is processed correctly and processes all transactions. * Assist with Meditech projects as they relate to the benefits department. * Sends reminders for Performance evaluation reviews to all department managers and follows up with any delinquent Performance Evaluations. * Maintains a high degree of confidentiality for all Personnel matters and ensures proper confidentiality of all documents and communication. * Deals with employee requests, questions, or concerns in a courteous, professional, efficient and effective manner following the company's expectation of providing excellent customer service. * Performs other duties as assigned or needed. Qualifications EDUCATION, EXPERIENCE, TRAINING* High School education or its equivalent preferred; college degree desired.* Previous experience coordinating employee benefits, e.g. health, dental, vision coverage, etc.* Must speak, read, and write English with the ability to compose correspondence displaying good command of the English language.* General office and/or Personnel related experience is required.We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

Keywords: Prime Healthcare, Ontario , Benefits Coordinator, Other , Ontario, California

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