Plan Setup Specialist

JOB TITLE: Plan Setup Specialist
Work hours: 8-5 pm
Start date: ASAP
Location: HYBRID- MASON, OH - 2-3x 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
• Self-manage 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

Job Type: Contract

Pay: $23.00 - $25.00 per hour

Expected hours: 40 per week

Work Location: In person

Salary : $23 - $25