Managed Services Consultant II
About The Position
The Managed Services Consultant II is responsible for providing exceptional support to clients who participate in the ReconRx reconciliation program. This role involves interacting with clients, payors, and data feed providers via email, messaging applications (for clients only), and phone. The consultant is tasked with resolving clients’ outstanding claims and maintaining detailed documentation of all actions taken. This individual routinely reviews and deciphers claims data, and guides clients through various general accounting-related reports. The Managed Services Consultant II also works with payors to ensure timely 835 file setups and requests missing 835 files as needed, and regularly explains adjustments found on the 835 files to assigned clients. This position requires a strong understanding of the reconciliation service and the ability 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 of 3 years of work experience.
- 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.
- Providing exceptional support to our clients who participate in the ReconRx reconciliation program.
- Interacting with clients, payors, and data feed providers via email, messaging application (clients only), and phone.
- Resolving clients’ outstanding claims and maintaining detailed documentation of all actions taken.
- Routinely reviewing and deciphering claims data.
- Guiding clients through various general accounting related reports.
- Working with the payors to ensure timely 835 file setups and requests missing 835 files as needed.
- Regularly explaining adjustments found on the 835 files to their assigned clients.
- Escalating more complex inquiries.
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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
