Eligibility processor 2

Arizona, Missouri

Job Description

With minimal supervision, set-up new accounts or modifications to existing accounts. Work membership related issues. Monitor receipt of expected membership files and run load jobs. Establish and maintain effective and collaborative relationships with clients and vendor. Monitor and insure performance standards and guarantees are met.

Essential Functions

-Participates with implementation teams to set up eligibility for new accounts. Leading the Eligibility work effort with the client and the vendor through development to production. Coordinate with IT and vendor to define file layout and mapping requirements. -Coordinates configuration changes or addition of business lines to existing accounts.  . Leading the Eligibility work effort with the client and the vendor through development to production. Coordinate with IT and vendor to define file layout and mapping requirements. -Monitor receipt of expected membership files, notify client and account management of delayed files. Build and foster client relationship. -Run membership load jobs. Research issues for root cause. Lead the effort with client and/or vendor to resolve all issues. -Initial Setup and ongoing maintenance of Eligibility setup / configuration -Provide reporting to Management on a monthly and quarterly basis activity against documented standards and performance guarantees. -Identify client data trends and act as consultant to client to improve quality of data and the member experience. -Other duties as assigned.

General Job Information

Title

Eligibility processor 2

Grade

16

Job Family

Customer Service Group

Country

United States of America

FLSA Status

United States of America (Non-Exempt)

Recruiting Start Date

8/12/2019

Date Requisition Created

8/12/2019

Work Experience

Claims, Customer Service

Education

GED (Required), High School (Required)

License and Certifications - Required

License and Certifications - Preferred

Other Job Requirements

Responsibilities

  • Minimum of 1 year customer service, claims, or general office experience.
  • Proficient with MS Office software.
  • Ability to type 60 WPM.
  • Strong ten key user.
  • Results and solution oriented; not afraid to ask questions

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.

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