Plan Setup Specialist
Plan Setup Specialist
Posted on :
28-12-2024
Employer Active
1 Vacancy
Job Alert
You will be updated with latest job alerts via emailValid email field required
Send jobs
Share
Send me jobs like this
Job Alert
You will be updated with latest job alerts via emailValid email field required
Send jobs
Job Description
JOB TITLE: Plan Setup Specialist
Work hours: 85 pm
Start date: ASAP
Location: HYBRID MASON OH 23x in office
Work hours: 85 pm
Start date: ASAP
Location: HYBRID MASON OH 23x in office
MAJOR DUTIES AND RESPONSIBILITIES
Responsible for setting up new Managed Care groups in the claims system
Responsible for fulfilling requested revisions to existing Managed Care group in the claims system (except Reseller product changes)
Responsible for creating standard products in the system (using the Product Key Sheet method)
Responsible for performing audits on client setup or maintenance requests (excludes complex product configuration requests)
Follow the established corporate and industry audit controls (i.e. SOX SSAE 18 etc.) when fulfilling setup and maintenance requests
Resolve client structure setup questions/issues sent to the team with minimal supervisor guidance
Maintain relationships with Implementation Managers and Account Managers to facilitate fulfillment of implementation questions and requests in a timely manner
Selfmanage completion of work inventory in the Plan Setup production queues within established quality and turnaround time guidelines
Recommend process and system enhancements for the Plan Setup team to drive improvements to performance
Support the management team with misc. projects and resolving assigned Plan setup issues
EDUCATION/EXPERIENCE QUALIFICATIONS
College degree or equivalent experience required
Minimum of 1 year claims system experience preferably in the Healthcare industry
Basic analytical and problem solving skills
Good communication and interpersonal skills
Ability to work independently and with others
Ability to manage more than one assigned tasks at the same time
Employment Type
Full Time
Report This Job
Disclaimer: Drjobpro.com is only a platform that connects job seekers and employers. Applicants are advised to conduct their own independent research into the credentials of the prospective employer.We always make certain that our clients do not endorse any request for money payments, thus we advise against sharing any personal or bank-related information with any third party. If you suspect fraud or malpractice, please contact us via contact us page.
