ID Card Specialist- Hybrid- Nashville TN

Lucent Health Solutions LLC•Nashville, TN

4h•Hybrid

About The Position

Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Lucent Health aims to be a better health benefits partner for self-insured employers.

Requirements

Thorough understanding of Self-Funding Insurance and Third-Party Administrating concepts.
Knowledge of Excel and Word.
Ability to navigate through and utilize PC applications efficiently.
Excellent phone etiquette.
Demonstrated written and oral communication skills required.
Strong organizational skills, problem solving, and attention to detail required.

Responsibilities

Create ID Cards for new and renewal groups
Create rules to design ID card for groups
Work with Redcard to develop overlays as needed
Maintain log of ID cards in process for new groups and renewals.
Submit proofs for coverage verification and approvals from: Implementation or AEs, Vendors like PPOs, PBMs, Concierges, etc
Order and process cards for groups: Check for ID cards accuracy against approved proofs, Do QA check to make sure members have appropriate cards, Release cards for processing and send pdf copies to implementation or AE for them to send to group
Verify current cards are in the appropriate group folder
Process order requests for individual ID Cards as requested on the ID card log or via email
Create and download monthly and quarterly reports for ID card invoicing.
Act as the liaison between RedCard and Lucent.
Maintain the mylucenthealth.com portal
Set up new groups on Mylucenthealth.com
Create links for PPO, PBM, Contact info, forms, etc
Upload documents like SPDs, SBCs, etc for each group on mylucenthealth.com portal
Monitor SBC, SPD changes and uploaded new documents when needed.
Test new group portals to make sure they are functioning correctly
Problem solve issues with group portal
Promote the use of mylucenthealth.com
Create guides for using the mylucent.com portal
Train groups how to use the portals.
Act as the liaison between HealthX and Lucent in regard to mylucenthealth.com
Create folders and upload group documents to LIN.