Plan Setup Specialist

Job Title: Plan Setup Specialist
Location: HYBRID- MASON, OH - 2-3x in office
Schedule time: 8:00 am - 5:00 pm, Monday - Friday EST.
Pay Rate: $25.74 /hr on W2 Paid Weekly!
Initial Assignment Length: 4+ Months (Extension is possible based on performance, attendance, and business need)
Start Date: ASAP
Benefits: Paid weekly, health, dental + vision insurance available!

Job Summary:
Provides exceptional service and support to all EyeMed 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 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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