ID Card Specialist- Hybrid Nashville TN

About Lucent Health

Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers.

Company Culture

We believe that the success of Lucent Health relies on having employees who are honest, ethical and hardworking. These values are the foundation of Lucent Health.

Honest

• Transparent Communication: be open and clear in all interactions without withholding crucial information
• Integrity: ensure accuracy in reporting, work outputs and any tasks assigned
• Truthfulness: provide honest feedback and report any issues or challenges as they arise
• Trustworthiness: build and maintain trust by consistently demonstrating reliable behavior

Ethical

• Fair Decision Making: ensure all actions and decisions respect company policies and values
• Accountability: own up to mistakes and take responsibility for rectifying them
• Respect: treat colleagues, clients and partners with fairness and dignity
• Confidentiality: safeguard sensitive information and avoid conflicts of interest

Hardworking

• Consistency: meet or exceed deadlines, maintaining high productivity levels
• Proactiveness: take initiative to tackle challenges without waiting to be asked
• Willingness: voluntarily offer to assist in additional projects or tasks when needed
• Adaptability: work efficiently under pressure or in changing environments

Job Responsibilities

• Create ID Cards for new and renewal groups
• Create rules to design ID card for groups
• Work with Redcard to develop overlays as needed
• Maintain log of ID cards in process for new groups and renewals.
• Submit proofs for coverage verification and approvals from:
• Implementation or AEs
• Vendors like PPOs, PBMs, Concierges, etc
• Order and process cards for groups:
• Check for ID cards accuracy against approved proofs
• Do QA check to make sure members have appropriate cards
• Release cards for processing and send pdf copies to implementation or AE for them to send to group
• Verify current cards are in the appropriate group folder
• Process order requests for individual ID Cards as requested on the ID card log or via email
• Create and download monthly and quarterly reports for ID card invoicing.
• Act as the liaison between RedCard and Lucent.
• Maintain the mylucenthealth.com portal
• Set up new groups on Mylucenthealth.com
• Create links for PPO, PBM, Contact info, forms, etc
• Upload documents like SPDs, SBCs, etc for each group on mylucenthealth.com portal
• Monitor SBC, SPD changes and uploaded new documents when needed.
• Test new group portals to make sure they are functioning correctly
• Problem solve issues with group portal
• Promote the use of mylucenthealth.com
• Create guides for using the mylucent.com portal
• Train groups how to use the portals.
• Act as the liaison between HealthX and Lucent in regard to mylucenthealth.com
• Create folders and upload group documents to LIN.

Qualifications:

Thorough understanding of Self-Funding Insurance and Third-Party Administrating concepts.

Knowledge of Excel and Word.

Ability to navigate through and utilize PC applications efficiently.

Excellent phone etiquette.

Demonstrated written and oral communication skills required.

Strong organizational skills, problem solving, and attention to detail required.

Equal Employment Opportunity Policy Statement

Lucent Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, color, creed, religion, alienage or national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity, gender expression, transgender status, sexual orientation, marital status, military service and veteran status.