Hybrid role, 3x (Tue-Thur).
Description/Comment:
MEDICAID EDI MANAGER
GENERAL FUNCTION:
Perform membership data load from various electronic media into the AS400 system. Coordinate membership data transfer for new plans and modifications to existing plans, with client and internal personnel. Troubleshoot data issues through coordination and communication with management team, IT, and client personnel.
MAJOR DUTIES AND RESPONSIBILITES
Load membership data into the AS400 efficiently and accurately
Follow research and data processing guidelines and meet established standards
Answer client service team questions regarding data submission requirements in a professional and timely manner
Identify and resolve data issues
Use PC based applications to review membership data as necessary to ensure accurate data load or problem resolution.
Assist in coordinating receipt, loading, tracking, and reporting of membership data
Identify and recommend systems and process modifications necessary to effectively and efficiently support the research function
Demonstrate strong teamwork abilities and the desire to provide quality customer service
COMMUNICATION WITH OTHERS INTERNAL – Frequent oral and written communication with internal associate and field management EXTERNAL – Frequent oral and written communication with clients, brokers, software/system providers, and third party administrators LISTENING – Employs excellent listening skills to understand issue and drive research and resolution
KNOWLEDGE AND SKILLS
Detailed working knowledge of mainframe computers and systems in general
Detailed working knowledge of basic person computer operations
Strong working knowledge of software programs, specifically Excel and Access
Understands third party benefits and administration
Strong customer service focus
Ability to problem solve and troubleshoot electronic data issues
Ability to work well under pressure and multi-task
EXPERIENCE
3-5 years Business experience, preferable in the insurance industry.Familiarity with electronic media and AS400Experience with Excel, Access and Microsoft Word
EDUCATION
High school diploma or equivalent required.
Notes:
Hybrid role, 3x (Tue-Thur).
Temp with potential of Temp to hire for right candidate
Hours: 8:00am to 5:00pm
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status