Managed Services Consultant II
Outcomes Operating Inc
JOB SUMMARYThe Managed Services Consultant II is responsible for providing exceptional support to our clients who participate in the ReconRx reconciliation program. They interact with clients, payors, and data feed providers via email, messaging application (clients only), and phone. They are responsible for resolving clients’ outstanding claims and maintaining detailed documentation of all actions taken. This individual routinely reviews and deciphers claims data as well as guides clients through various general accounting related reports. The Client Account Representative works with the payors to ensure timely 835 file setups and requests missing 835 files as needed. They also regularly explain adjustments found on the 835 files to their assigned clients. The Client Account Representative II possess a strong understanding of the reconciliation service and escalates more complex inquiries.ESSENTIAL DUTIES & RESPONSIBILITIESAssist 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 foundKNOWLEDGE & REQUIREMENTSGeneral understanding of 835 files, pharmacy claim adjudication process, accounts receivable and reconciliationWorking knowledge of MS Office SuiteAbility to multi-task in a fast-paced environmentDetail-oriented and dedicated to follow throughAbility to establish a strong rapport with clientsEffective time management skillsAbility to work well both independently and as a team memberEDUCATION & EXPERIENCE REQUIREMENTSMinimum years of work experience: 3 yearsRetail pharmacy and/or accounting experience preferredMinimum level of education or education/experience: High School DiplomaPHYSICAL REQUIREMENTSThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.Frequent sitting in stationary position at a deskOccasional standing, walking, stooping, kneeling, squatting, and climbing stairsOccasional twisting of bodyOccasional reaching by extending hands and arms in any directionOccasional lifting, pulling, or pushingWhat’s In It For You?Medical, Dental and Vision PlansVoluntary BenefitsHSA & FSAFertility & Family Planning BenefitsPaid Parental LeaveAdoption Assistance ProgramEmployee Resource GroupsFlex PTO for Exempt Associates & up to 15 PTO days in first year of employment for non-exempt associates11 Paid HolidaysCorporate Wellness Program401k Employer Match & Roth Option Available – immediate eligibility#LI-DNP #J-18808-Ljbffr Outcomes Operating Inc
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