IS Support Associate
About The Position
The IS Support Associate provides general support to the IS Department, performs accurate and timely data entry in the primary processing system, and provides Level 1 onsite and remote IT support, including support for the Aerial Care Coordination application. The role supports membership and eligibility processing, electronic claim retrieval, claim correction, IT ticket response, equipment tracking, user training, troubleshooting, and cross-coverage for other IS staff. The position requires careful interpretation and application of departmental policies and procedures, sound judgment, professionalism, and the ability to manage multiple tasks independently and as part of a team. Performance is evaluated on work quality and quantity, reliability, initiative, prioritization, interpersonal skills, communication, follow-through, and professionalism.
Requirements
- Strong attention to detail and accurate, efficient data-entry skills.
- Ability to read and understand health plan eligibility and benefit information and Division of Financial Responsibility matrices.
- Familiarity with medical terminology, practices, and coding, including CPT, HCPCS, ICD-9/10, and Revenue codes.
- Working knowledge of Microsoft Office applications, including Excel and Access.
- Professionalism and good interpersonal and communication skills.
- Ability to work independently on varied tasks and in a team setting.
- Ability to prioritize and perform a variety of complex tasks.
- Ability to speak, read, write, and understand English; general educational skills typically obtained by completing high school or a GED.
- Consistently produce work meeting departmental standards, accuracy measures, and goals promptly.
- Demonstrate reliable punctuality and attendance.
- Perform position requirements with minimal supervision, show initiative, and take responsibility for follow-through.
- Use sound judgment in time management and prioritization to balance tasks and meet required timeframes.
- Communicate professionally and respectfully with peers, superiors, subordinates, and clients.
- Follow through on tasks and provide constructive feedback on assigned work projects.
- Maintain professionalism in attitude, demeanor, and personal appearance.
Responsibilities
- Manually add and update membership data in MedMC and EZ CAP.
- Monitor Aerial Care Eligibility Task list requests daily for each IPA and Aerial Provider Registration requests at least twice weekly for each IPA.
- Manage the Eligibility email box daily, handling emailed and faxed eligibility inquiries and update requests.
- Oversee the Electronic Claim Retrieval (ECR) process, including retrieving files, loading files to MedMC, researching and resolving issues, and tracking and reporting.
- Assist with reviewing and working on monthly Eligibility Edit reports.
- Review and correct rejected or mismatched claims in the EZ-Net portal to ensure accurate data formatting before final adjudication.
- Respond to internal and Health Plan out-of-pocket requests and accurately update the primary processing system.
- Assist in monitoring IT tickets submitted by PDT staff to ensure efficient and complete responses.
- Provide Level 1 onsite and remote IT technical support to PDT staff.
- Manage and track PDT IT equipment.
- Provide individual and group training on IT- and IS-supported software and hardware.
- Interpret and apply departmental policies and procedures using sound judgment.
- Assist with troubleshooting issues and testing updates.
- Provide cross-coverage and support to other IS staff.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
