What are the responsibilities and job description for the Compliance Administrator position at Diversity Nexus?
Job title: Compliance Administrator/ Specialist
Location: MASON OH 45040
Contract : 12 Month contract
Note : Hybrid Role: 2-3x a week in Mason, OH office
Brief Description of Work:
Billing routine vision claims in insurance portals
Specific Skills/experience needed:
Excel skills, effective communication skills, analytical skills, experience processing insurance claims
GENERAL FUNCTION: Accurately and efficiently processes manual claims and other simple processes such as claims projects. Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication.
MAJOR DUTIES & RESPONSIBILITIES:
- Processing - Efficiently and accurately processes standard claims or adjustments
- Consistently achieves key internals with respect to production, cycle time, and quality
- May participate on non-complex special claims projects initiatives, including network efforts
- Understands and quickly operationalizes processing changes resulting from new plans, benefit designs.
- Drive client satisfaction - Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include EyeMed Account Managers, Operations, Information Systems, Client Representatives and EyeMed leadership team
- Drives Key Performance Indications - Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy
- Proactively works with supervisor to develop self-remediation plan when standards are not being met
KNOWLEDGE & SKILLS:
- Data entry and claims processing knowledge
- Has a working knowledge of interface systems that include the EyeMed claims system, Metastorm, Exclaim and EyeNet
- Some basic working knowledge of software programs, specifically Excel and Access
- Understands third party benefits and administration
- Strong customer service focus
- Ability to work well under pressure and multi-task
EXPERIENCE:
- 0-1 years of claims processing/data entry experience. Knowledge of PCs and spreadsheet applications
EDUCATION: High school
Best Regards,
Subhash V
Talent Acquisition Specialist
subhash@diversitynexus.net
732-782-5488
Job Type: Contract
Pay: $19.00 - $20.00 per hour
Expected hours: 25 per week
Schedule:
- Day shift
- Monday to Friday
Work Location: In person
Salary : $19 - $20
