Managed Services Consultant II

OUTCOMES OPERATING INC•Dublin, OH

1d•Onsite

About The Position

The Managed Services Consultant II is responsible for providing exceptional support to clients participating in the ReconRx reconciliation program. This role involves interacting with clients, payors, and data feed providers via email, messaging application, and phone. Key responsibilities include resolving clients’ outstanding claims and maintaining detailed documentation of all actions taken. The individual will routinely review and decipher claims data, guide clients through various general accounting related reports, and work with payors to ensure timely 835 file setups and request missing 835 files. They will also regularly explain adjustments found on 835 files to assigned clients. The Managed Services Consultant II is expected to possess a strong understanding of the reconciliation service and to escalate more complex inquiries.

Requirements

General understanding of 835 files, pharmacy claim adjudication process, accounts receivable and reconciliation
Working knowledge of MS Office Suite
Ability to multi-task in a fast-paced environment
Detail-oriented and dedicated to follow through
Ability to establish a strong rapport with clients
Effective time management skills
Ability to work well both independently and as a team member
Minimum years of work experience: 3 years
High School Diploma

Nice To Haves

Retail pharmacy and/or accounting experience preferred

Responsibilities

Assist customers with any program or service needs
Escalate any programming issues to the appropriate team
Create and cultivate relationships with clients
Scheduling and distribution of information for webinars, phone conferences, etc. with customers
Ability to identify common issues across multiple customers and in turn, notify leadership so a solution can be found

Benefits

Medical, Dental and Vision Plans
Voluntary Benefits
HSA & FSA
Fertility & Family Planning Benefits
Paid Parental Leave
Adoption Assistance Program
Employee Resource Groups
Flex PTO for Exempt Associates & up to 15 PTO days in first year of employment for non-exempt associates
11 Paid Holidays
Corporate Wellness Program
401k Employer Match & Roth Option Available – immediate eligibility