Demo

Plan Setup Specialist

Cynet Systems
Mason, OH Contractor
POSTED ON 12/24/2024
AVAILABLE BEFORE 2/18/2025
Job Description:

Pay Range: $19.13hr - $24.13hr

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 and 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 than one assigned tasks at the same time.

Salary : $19 - $24

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