Benefits Coordinator - FT - Days - Acct

Professional Edinburg, Texas


Description

Position at DHR Health

JOB DESCRIPTION 

Benefits Coordinator

DEPARTMENT:

Accounting

Department Director:

 

FORMULATED: 11/05

Employee Health:

 

REVIEWED:  08/06, 09/2013

Human Resources:

REVISED: 02/09, 05/2010, 7/2017        

 

EMPLOYEE’S NAME: ________________________

 

FLSA STATUS:NON EXEMPT

Job Description

 

MISSION STATEMENT:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

 

VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

 

POSITION SUMMARY:

Administers various employee benefit programs, such as group health insurance (life, medical and dental) and supplemental insurance programsSurveys industry and/or community to determine the Hospital's competitive position in employee benefits.  Works with the Supervisor to develop, recommend, and install approved, new, or modified benefit plans and employee policies.  Develops cost control procedures to assure maximum coverage at the least possible cost to organization and employee.

 

POSITION EDUCATION/QUALIFICATIONS:

      College degree in business, human resources or related field, is strongly preferred.

      Four (4) years experience in the area of benefits administration. 

      Must be able to be sensitive to cultural and bilingual issues.

      Good written and verbal communication skills required.

      Ability to read, write and speak English

      Ability to communicate clearly and concisely with all levels of nursing, administration, and physicians

      Prefer hospital experience

 

JOB KNOWLEDGE/EXPERIENCE­:

      Knowledge of all pertinent federal and state regulations, filing and compliance requirements both adopted and pending affecting employee benefit programs, including ERISA, COBRA, FMLA, ADA, SECTION 125, Medicare, COBRA, and Social Security and DOL requirements. 

      Experience in an Acute Care setting within Employee Benefits, is preferred

      Must have effective communication skills, oral and written. 

      Experience in MS Word, Excel, ADP Payroll and other applicable database programs will be helpful. 

      Critical thinking skills is a must, as is the ability to multi-task. 

      Must have excellent customer service skills.

      High degree of competency/experience in general. 

      Requires good communication and organizational skills.

      Requires reasoning ability and good independent judgment.

 

POSITION RESPONSIBILITIES:

      Promotes the facility mission, vision and values by effectively communicating them to others.  Considers mission, vision and values in developing services, standards and practices

      Evaluates, recommends and implements approved, new, or modified benefit plans.

      Coordinates human resources procedures to initiate benefits enrollment such as medical, dental, life insurance and supplemental insurance plans.                                         

      Provides benefit orientations, enrollments, claims processing and self-billings of insuranc

      Process and maintain all benefit status reports and benefit pay deductions, both on paper and computer, ensuring accurate changes are processed through payroll.                           

      Assists employees in filing health, dental, life, and other related benefit claims.

      Coordinates the FMLA and Leave without Pay policies by assisting employees with processing paperwork and planning for benefit continuation while on leave.             

      Verifies calculation of the monthly premium statements for all group insurance policies and maintains data relative to premiums, claims, and costs.                                         

      Resolves all administrative problems and discrepancies with carrier representatives.

      Coordinates, arranges and conducts employee annual open enrollments, orientation and informational presentations (i.e. annual benefits fairs).                                                       

      Handles benefit inquiries and complaints to ensure quick, equitable, courteous resolution.

      Coordinates the maintenance of employee records as it relates to enrollment, application, and claims records for all benefit plans.                                                                     

      Assist employees regarding Employee Benefit questions according to policy and procedures.

      Assist department with other duties and issues, as necessary.

 

LINES OF REPSONSIBILITES:

Payroll Supervisor, Director of Accounting

 

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Compassion, Accountability, Respect, Excellence through Knowledge and Safety & Social Conscience.

 

AGE SPECIFIC:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit.  The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirement relative to his or her age.  

 

 

AMERICANS WITH DISABILITIES ACT: (ADA)

A.Essential Duties:Indicated by bold print within performance standards, preceding individual numbered criteria.

 

The following table provides physical requirements that will be associated with, but not limited to, this position:                             

Light/moderate lifting up to 20 lbs, from the floor to shoulder height. 

Yes

Kneeling

Yes

Must be able to assist other employees with lifting more than 20 lbs.

Yes

Walking

Yes

Light/moderate carrying up to 20 lbs.

Yes

Standing/Squatting

Yes

Straight pulling

Yes

Sitting

Yes

Pulling hand over hand

Yes

Pushing

Yes

Repeated bending

Yes

Stooping/Bending

Yes

Reaching above shoulder

Yes

Climbing Stairs

Yes

Simple grasping

Yes

Climbing Ladders

No

Dual simultaneous grasping

Yes

Depth Perceptions needed

Yes

Ability to see

Yes

Identify Colors

Yes

Operating office equipment

Yes

Twisting

Yes

Operating mechanical equipment

Yes

Crawling

No

Ability to read and write

Yes

Ability to Count

Yes

Ability to hear verbal communication without aid

Yes

Operating Personal Vehicle

Yes

Ability to comprehend written/verbal communication

Yes

Other:  Ability to deal with stress

Yes

OSHA Category

III

 

 

 

B.Working Conditions:  The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes.  The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents. 

 

C.Occupational Exposure:This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids).  Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.    

D.Aptitudes:HIGH123456LOW

 

Intelligence:  General learning ability:  The ability to “catch on” or understand instructions and underlying principles.  Ability to reason and make judgments. 3

 

Verbal:Ability to understand meanings of words and ideas associated with them, and to use them effectively.  To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly.              3

 

Numerical:Ability to perform arithmetic operations quickly and accurately.   2

 

Spatial:Ability to comprehend forms in space and understands relationships of plane and solid objects.  Frequently described as the ability to “visualize” objects or two or three dimensions, or to think visually of geometric forms.  2

 

Form Perception:Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines.   3

 

Clerical Perception:Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2

 

Motor Coordination:  Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly.               3

 

Finger Dexterity:Ability to move hands easily and skillfully.  To work with fingers in placing and turning motions.              3

 

Manual Dexterity:Ability to move hands easily and skillfully.  To work with hands in placing and turning motions.              3

 

Eye-Hand-Foot Coordination:Ability to move the hand and foot coordinately with each other in accordance with visual stimuli.              3

 

Color Discrimination:Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color.  To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately.              3

 

 

I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.

 

Employee Signature:________________________________Date:____________________

 

 

DISCLAIMER

The above statements are intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. DHR leadership reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.