Customer Support - Healthcare Data Eligibility

Responsibilities:

- Acting as a healthcare data subject matter expert on Eligibility guidelines and Electronic - - Data Interchange (EDI) protocol for clients 

- Researching and consulting to improve healthcare data integrity and ensure excellent service delivery 

- Constantly improving healthcare analytical skills that are needed to perform data analysis

- Resolving data enrollment issues on a daily basis   

- Having exceptional time management and healthcare client management skills

- Strong project management and organizational skills

- Ability to multi-task and continuously prioritize workload

- Proficient written and verbal communication skills

- Comfortable in a client facing role

Required Qualifications:

- 2+ years in Pharmacy Benefit Management or Healthcare Eligibility, Insurance, IT, or Benefits Environment.

- Proficiency in processing accurate and timely Eligibility data.

- Ability to manage multiple tasks/priorities/projects

Preferred Qualifications:

- 3+ years in eligibility or other relevant background 

- 2+ years customer service or client-facing experience in a fast-paced environment  

- Experience in EDI (Electronic Data Interchange)

- Understanding of the PBM industry

- Experience in a healthcare client facing role

- Experience in a fast-paced environment

- Knowledge of ANSI X12 834 Data Documents

- Familiarity with RxClaim and/or AS400

- Bachelors Degree

Education:

- High School Diploma or G.E.D.