Managed Services Consultant II - WDM
About The Position
The Managed Services Consultant II provides support to clients participating in the ReconRx reconciliation program. The role involves communicating with clients, payors, and data feed providers by email, phone, and—when communicating with clients—a messaging application. The consultant resolves outstanding claims, documents actions taken, reviews and interprets claims data, and helps clients understand general accounting-related reports. The role also works with payors to establish 835 file setups on time and to request missing 835 files. The consultant explains adjustments found on 835 files to assigned clients, maintains a strong understanding of the reconciliation service, and escalates more complex inquiries. Additional responsibilities include assisting customers with program and service needs, escalating programming issues, cultivating client relationships, coordinating customer webinars and phone conferences, and identifying recurring issues across customers for leadership.
Requirements
- High school diploma.
- Three years of work experience.
- Working knowledge of the MS Office Suite.
- Ability to multitask in a fast-paced environment.
- Detail-oriented, with dedication to follow through.
- Ability to establish strong rapport with customers.
- Effective time management skills.
- Ability to work independently and as part of a team.
Nice To Haves
- Two to three years of pharmacy experience preferred.
- Retail pharmacy and/or accounting experience preferred.
- Proficiency in reading, writing, and speaking Spanish is a bonus.
Responsibilities
- Support clients participating in the ReconRx reconciliation program through email, phone, and client messaging.
- Resolve clients’ outstanding claims and maintain detailed documentation of actions taken.
- Review and interpret claims data and guide clients through general accounting-related reports.
- Work with payors to ensure timely 835 file setups and request missing 835 files.
- Explain adjustments found on 835 files to assigned clients.
- Escalate complex inquiries and programming issues to the appropriate team.
- Assist customers with program and service needs.
- Create and cultivate relationships with clients.
- Schedule and distribute information for customer webinars, phone conferences, and other events.
- Identify common issues across customers and notify leadership so solutions can be developed.
Benefits
- Medical, dental, and vision plans.
- Voluntary benefits.
- HSA and FSA.
- Fertility and family planning benefits.
- Paid parental leave.
- Adoption assistance program.
- Employee resource groups.
- Flex PTO for exempt associates and up to 15 PTO days in the first year for non-exempt associates.
- 11 paid holidays.
- Corporate wellness program.
- 401(k) employer match and Roth option, with immediate eligibility.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
