Enrollment Specialist - ADAP - Remote in Connecticut

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Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Enrollment Specialist - ADAP - Remote in Connecticut

Job Description Summary

This position is responsible for processing, data entry and file maintenance of enrollment, assessment and dis-enrollment documentation for strategic business unit (SBU) operations.

Job Description

• This is a remote work from home position but must reside in the state of Connecticut.
• Effectively supports Prime's SBU program operations ensuring that data is entered accurately and timely as required by contract service level agreements
• Ability to communicate effectively in a detailed and concise manner
• Answers incoming calls on eligibility, program benefits, plan limitations and point of sale edits from providers and discharge planners
• Proficient use of enrollment and claims point of sale systems for research and problem resolution.
• Assists in data collection and reporting
• Completes bi-weekly checkwrite production for provider payment in the accounts payable system, reporting all operational issues and assisting with system issues
• Assists with quality monitoring and provides constructive feedback
• Forms collaborative partnerships with teammated and other departments
• Continually seeks to improve processes and increase efficiencies
• Ability to work through problem resolution both independently and in cooperation with others as approporiate
• Other special projects as required by management
  
  

Responsibilities

• Must be a team player, flexible, organized and able to manage multiple tasks
• Possess strong verbal and written communication skills
• Attention to detail and ability to work efficiently to meet deadlines and timelines
• Ability to interact with internal and external clients with confidence, assertiveness and a pleasant demeanor
• Strong computer skills and working knowledge of Microsoft Office Suite products
• Ability and willingness to learn other proprietary computer systems quickly and efficiently
• Works independently and with a high degree of organization
• Experience in health care, managed care or pharmacy management preferred
• Experience in enrollment processing/data entry
  
  

Work Experience

Work Experience - Required:

Customer Service

Work Experience - Preferred

Education

Education - Required

Education - Preferred:

Bachelors

Certifications

Certifications - Required

Certifications - Preferred:

Potential pay for this position ranges from $16.00 - $23.39 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.   

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.