Primary responsibility includes working closely with external customers who submit 834 membership files.
Knowledge of the 834 HIPAA compliant file layout is highly desirable.
Apply, analyze and manage 834 and membership business rules.
Manage phone inquiries from external customers related to 834 customer inquiries.
Analyze, process and/or expedite operational membership transactions; this may include timely resolution of problems.
Provide leadership team with status of issues.
Utilize and maintain available corporate production and reporting systems; produce routine and non-routine reports, letters and communications.
Assist personnel (both internal and external) by answering questions and supplying information.
Develop and maintain an effective working relationship with customers or partners.
Other duties may be assigned.
Top 3 Required Skills/Experience - High proficiency with Microsoft Suite primarily Outlook, Excel, Access, and Teams.
Demonstrated skills including organizational (ability to prioritize multiple assignments), analytical (attention to detail), and interpersonal (written and oral, including internal and external contacts) are required.
Ability to perform as a self-starter, with motivation to consistently produce high quality results is required.
Required Skills/Experience - The rest of the required skills/experience.
Include: Bachelor's Degree in related field preferred.
Strong creative problem-solving skills are required.
Demonstrated flexibility, self-discipline and ability to work independently, as well as within a group is required.
Ability to make decisions within scope of responsibility where operational guidelines/procedures are non-existent.
Other related skills and/or abilities may be required to perform this job.
Preferred Skills/Experience - Optional but preferred skills/experience.
Include: Minimum of 2-5 years of Healthcare enrollment experience preferred.
Working knowledge of BCN operating systems/applications considered a plus (Facets, EOS, Macess).
Knowledge of the 834 HIPAA compliant file layout is highly desirable.
Category Analyst Function Information Technology Req ID JN -102024-121644