Responsibilities:
- Acting as a healthcare data subject matter expert on Eligibility guidelines and Electronic - - Data Interchange (EDI) protocol for clients
- Researching and consulting to improve healthcare data integrity and ensure excellent service delivery
- Constantly improving healthcare analytical skills that are needed to perform data analysis
- Resolving data enrollment issues on a daily basis
- Having exceptional time management and healthcare client management skills
- Strong project management and organizational skills
- Ability to multi-task and continuously prioritize workload
- Proficient written and verbal communication skills
- Comfortable in a client facing role
Required Qualifications:
- 2+ years in Pharmacy Benefit Management or Healthcare Eligibility, Insurance, IT, or Benefits Environment.
- Proficiency in processing accurate and timely Eligibility data.
- Ability to manage multiple tasks/priorities/projects
Preferred Qualifications:
- 3+ years in eligibility or other relevant background
- 2+ years customer service or client-facing experience in a fast-paced environment
- Experience in EDI (Electronic Data Interchange)
- Understanding of the PBM industry
- Experience in a healthcare client facing role
- Experience in a fast-paced environment
- Knowledge of ANSI X12 834 Data Documents
- Familiarity with RxClaim and/or AS400
- Bachelors Degree
Education:
- High School Diploma or G.E.D.
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