Overview
Skills
Job Details
Title: Claims/Data Entry Specialist - Hybrid
Description:
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
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Mandatory skills:
data entry,
Microsoft Word, Microsoft Excel software,
system testing, auditing,
Healthcare industry,
claims system,
Product Key Sheet method, product configuration requests,
industry audit controls, SOX, SSAE 18
VIVA USA is an equal opportunity employer and is committed to maintaining a professional working environment that is free from discrimination and unlawful harassment. The Management, contractors, and staff of VIVA USA shall respect others without regard to race, sex, religion, age, color, creed, national or ethnic origin, physical, mental or sensory disability, marital status, sexual orientation, or status as a Vietnam-era, recently separated veteran, Active war time or campaign badge veteran, Armed forces service medal veteran, or disabled veteran. Please contact us at for any complaints, comments and suggestions.
Contact Details :
Account co-ordinator: Sekhar Radhakrishnan
VIVA USA INC.
3601 Algonquin Road, Suite 425
Rolling Meadows, IL 60008
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