Managed Services Consultant II - Orlando

OUTCOMES OPERATING INC•Orlando, FL
•Hybrid

About The Position

The Managed Services Consultant II provides support to clients participating in the ReconRx reconciliation program. The role interacts with clients, payors, and data feed providers through email, a messaging application for clients, and phone. It resolves clients’ outstanding claims and maintains detailed records of actions taken. The position reviews and interprets claims data and helps clients understand general accounting-related reports. The role works with payors to arrange timely 835 file setups, requests missing 835 files, and explains adjustments in 835 files to assigned clients. It requires a strong understanding of the reconciliation service and the ability to escalate more complex inquiries. The position also supports customers with program or service needs, escalates programming issues, builds client relationships, coordinates customer webinars and phone conferences, and identifies common issues across customers for leadership to address.

Requirements

  • Minimum of 3 years of work experience.
  • High school diploma.
  • Working knowledge of Microsoft 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.

Nice To Haves

  • Minimum of 2–3 years of pharmacy experience preferred.
  • Retail pharmacy and/or accounting experience preferred.
  • Bilingual ability preferred; proficiency in reading, writing, and speaking Spanish is a bonus.

Responsibilities

  • Assist customers with program or service needs.
  • 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 as needed.
  • Explain adjustments found on 835 files to assigned clients.
  • Escalate more complex client inquiries and programming issues to the appropriate team.
  • Create and cultivate relationships with clients.
  • Schedule and distribute information for webinars, phone conferences, and other customer communications.
  • Identify common issues across multiple customers and notify leadership so solutions can be found.

Benefits

  • Medical, dental, and vision plans.
  • Voluntary benefits.
  • Health Savings Account (HSA) and Flexible Spending Account (FSA).
  • Fertility and family planning benefits.
  • Paid parental leave.
  • Adoption assistance program.
  • Employee Resource Groups.
  • Flexible PTO for exempt associates; 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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