Transaction Processor Associate

Job Description

Job Description

Schedule: Day/Evening shifts; overtime and some weekends may be required

Job Summary:
Seeking a detail-oriented Transaction Processor Associate II to process healthcare-related transactions, research and update consumer information, and determine eligibility for medical programs. The ideal candidate should be comfortable working in a fast-paced, production-driven environment while maintaining accuracy and quality.

Key Responsibilities:

• Process case maintenance transactions accurately and within established guidelines.
• Research, analyze, and update consumer information across multiple systems.
• Evaluate eligibility for medical expenses/programs.
• Enter consumer data into the Eligibility Determination System.
• Communicate with clients and consumers through verbal and written channels.
• Meet daily productivity, quality, and accuracy standards.
• Provide excellent internal and external customer service.
• Maintain knowledge of procedures and operating systems.
• Complete assignments within required deadlines and attendance policies.

Required Qualifications:

• Type at least 40 WPM.
• Strong attention to detail and ability to identify/correct errors.
• Ability to organize work, prioritize tasks, and adapt to change.
• Strong analytical and problem-solving skills.
• Ability to work independently after training with limited direction.
• Ability to maintain productivity while delivering quality work.
• Proficiency with PC systems/company software or ability to learn.
• College degree and eligibility determination/transaction processing experience preferred.

Additional Requirements:

• Healthcare package, employment/drug screening required.
• Office-based work environment.
• Must be comfortable working in a fast-paced environment , including overtime, evenings, and occasional weekends.