Managed Services Consultant II - Dublin

OUTCOMES OPERATING INC • Dublin, OH

1d • Hybrid

About The Position

The Managed Services Consultant II provides support to clients participating in the ReconRx reconciliation program. The role communicates with clients, payors, and data feed providers by email, phone, and—when communicating with clients—a messaging application. It resolves clients’ outstanding claims and maintains detailed records of actions taken.

The position reviews and interprets claims data, guides clients through general accounting-related reports, and works with payors to arrange timely 835 file setups and request missing files. It also explains adjustments identified on 835 files to assigned clients. The consultant has a strong understanding of the reconciliation service and escalates more complex inquiries.

Requirements

• 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 a team member.
• High school diploma or equivalent.

Nice To Haves

• Two to three years of pharmacy experience preferred.
• Proficiency in reading, writing, and speaking Spanish is a bonus.

Responsibilities

• Assist customers with program or service needs.
• Resolve clients’ outstanding claims and document 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 as needed.
• Explain adjustments found on 835 files to assigned clients.
• Escalate complex inquiries and programming issues to the appropriate team.
• Build and cultivate relationships with clients.
• Schedule and distribute information for customer webinars, phone conferences, and similar events.
• Identify common issues across customers and notify leadership so solutions can be developed.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED