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Plan Setup Specialist


Reference Number: SRNYPS96

Plan Setup Specialist
experience  Not Disclosed
location  MASON, OH
duration  3.5 Months
salary  Not Disclosed
jobtype  Not Disclosed
Industry  Services
Job Description

HYBRID - 2-3x in office

Description/Comment:

Serve as a Specialist on the Plan Setup Team responsible for setting up and maintaining client's managed vision care clients in our core administration system.

MAJOR DUTIES AND 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.)

Job Summary:

Provides exceptional service and support to all client Providers/Locations through execution of provider/location database requests within established performance metrics.
Responsible for setting up and maintaining clients in the claims processing system.

Additional duties:

Supporting the Plan Setup team by assisting with daily administrative duties, including evaluating new requests, coordinating work assignments, running/preparing management reports, performing audits, etc..

Specific Skills Needed:

MUST HAVE EXCEL SKILLS

Minimum of 1-3 years experience working in a data entry position
Proficient at working on a computer (requirement)
Experience using Microsoft Word and Microsoft Excel software (requirement)
Ability to work well in a team setting
Strong communication and analytical analysis skills required
Previous system testing or auditing experience a plus
Experience in the Healthcare industry a plus
Education: College degree or experience required


Notes:

Hours: 8:00am to 5:00pm
HYBRID - 2-3x in office


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

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