What are the responsibilities and job description for the Plan Setup Specialist position at Careers Integrated Resources Inc?
Job Title: Plan Setup Specialist
Location: Mason, OH - Hybrid
Contract: 4 Months (Possibility of Extension)
Work hours: 8-5 pm
Pay range: $20 - $25/hr. on W2
Serve as a Specialist on the Plan Setup Team responsible for setting up and maintaining Client’s managed vision care clients in our core administration system.
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 fulfilment 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 task at the same time.
Location: Mason, OH - Hybrid
Contract: 4 Months (Possibility of Extension)
Work hours: 8-5 pm
Pay range: $20 - $25/hr. on W2
Serve as a Specialist on the Plan Setup Team responsible for setting up and maintaining Client’s managed vision care clients in our core administration system.
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 fulfilment 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 task at the same time.
Salary : $20 - $25
