Description/Comment: Plan Setup SpecialistJob 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.. 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.)Specific Skills Needed:Minimum of 1-3 years experience working in a data entry positionProficient at working on a computer (requirement)Experience using Microsoft Word and Microsoft Excel software (requirement)Ability to work well in a team settingStrong communication and analytical analysis skills requiredPrevious system testing or auditing experience a plusExperience in the Healthcare industry a plus Education: College degree or experience requiredThere will actually be 5 courses that required for all temporary employees:3 for Compliance purposes and 2 for HiTrust / Security requirements:1. General Compliance2. HIPAA3. Fraud, Waste, and Abuse4. Security Essentials5. Introduction to PhishingIn addition; Model of Care, ODAG, FSL Fraud Integral Staff training, CA Fair Claims.Notes:HYBRID- MASON, OH - 2-3x in office8:00am to 5:00pmVIVA 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
Description/Comment:
Plan Setup Specialist
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..
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.)
Specific Skills Needed:Minimum of 1-3 years experience working in a data entry positionProficient at working on a computer (requirement)Experience using Microsoft Word and Microsoft Excel software (requirement)Ability to work well in a team settingStrong communication and analytical analysis skills requiredPrevious system testing or auditing experience a plusExperience in the Healthcare industry a plus
Education:
College degree or experience requiredThere will actually be 5 courses that required for all temporary employees:3 for Compliance purposes and 2 for HiTrust / Security requirements:1. General Compliance2. HIPAA3. Fraud, Waste, and Abuse4. Security Essentials5. Introduction to PhishingIn addition; Model of Care, ODAG, FSL Fraud Integral Staff training, CA Fair Claims.
Notes:
HYBRID- MASON, OH - 2-3x in office
8:00am to 5:00pm
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