Plan Setup Specialist

Plan Setup Specialist

  Not Disclosed

  MASON , OH

  3.5 Months

  Not Disclosed

  Not Disclosed

  Services

Job Description

Description/Comment:

Specialist – Plan Setup


GENERAL FUNCTION

Serve as a Specialist on the Plan Setup Team responsible for setting up and maintaining the 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.) when fulfilling setup and maintenance requests
Resolve client structure setup questions/issues sent to the team with minimal supervisor guidance
Maintain relationships with Implementation Managers and Account Managers to facilitate fulfillment of implementation questions and requests in a timely manner
Self-manage completion of work inventory in the Plan Setup production queues within established quality and turnaround time guidelines
Recommend process and system enhancements for the Plan Setup team to drive improvements to performance
Support the management team with misc. projects and resolving assigned Plan setup issues

EDUCATION/EXPERIENCE QUALIFICATIONS
College degree or equivalent experience required
Minimum of 1 year claims system experience, preferably in the Healthcare industry
Basic analytical and problem solving skills
Good communication and interpersonal skills
Ability to work independently and with others
Ability to manage more than one assigned tasks at the same time

Specific Skills Needed:
Data entry

Years of Experience Needed: 1-3 years of data entry experience (high school diploma/GED)




Note:
HYBRID
Work hours: 8-5 pm
Second week will determine how fast individuals catches on. After 2nd week, it will be the hybrid schedule, two days in office per week, their choice on days.
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