Administrative Services Technical Support Specialist

: : Shift: First Shift,Mon,Tue,Wed,Thu,Fri

Consociate Health, a leading Third-Party Administrator, offers an opportunity to grow and develop your career in an environment that provides a fulfilling workplace for employees, and creates continuous learning and embraces the ideas and diversity of others.

As part of our Mission to make Healthcare more accessible and affordable for our clients through innovation solutions and expert consultation, we value the inherent qualities that are foremost in our Mission, Vision, Values- Compassion, Humility and Impact, which allow us all to create authentic relationships with our team and our clients.

Position Summary:

The Administrative Services Specialist reports to the Administrative Services Supervisor. This position assist with file testing and set up, troubleshoot and coordinate with IT on vendor extracts/issues, assist with ID card development, extracts, updates and ordering, etc.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Perform detailed testing and qualify checks on new or updated health plan file postings
• Support the remediation of data issues found in testing and production through data analysis when appropriate
• Communicate data changes when data assets are released to production
• Perform regular quality control on worked files to proactively root out and troubleshoot issues and investigate root-cause of errors for process improvement
• Assist with creation, setup and implementation of member ID cards
• Work with and monitor file feeds used for the ordering of member ID cards
• Support the implementation of special projects, assisting with tracking of various phases of a project and managing workflow
• Assisting management in familiarizing and training team members with various business rules in working with various types of file feeds
• Identify gaps in processes and suggest process improvement strategies
• Perform other duties as assigned

GENERAL EXPECTATIONS:

• Present a positive image of Consociate Health at all times.
• Provide and promote the delivery of services with a prevailing attitude of respect and recognition of the personal worth and dignity of every individual whether they are a customer or coworker.
• Communicate in a clear and concise manner, while also demonstrating receptivity through active listening.
• Identify and perform work that has not been specifically assigned, as needed.
• Adheres to established safety standards and utilizes proper techniques to avoid work- related injuries.
• Continuously seek opportunities for improvement and suggest ways in which procedures/systems may be modified to accomplish tasks/goal efficiently and effectively.
• Demonstrate a teamwork philosophy by working cooperatively with others inside and outside the Administration Division.
• Attend required in-service and staff meetings.
• Preserve the confidentiality of all business-sensitive information, including but not limited to that of insured groups and individuals, employees and applicants.

Experience and Skills:

KNOWLEDGE, SKILLS AND ABILITY REQUIREMENTS:

• High School Education Required.
• 1 plus year(s) of experience working with health plan eligibility files of multiple formats, including 834 files
• Experience and proficiency in Microsoft Office software products
• Proven interpersonal skills with the ability to develop and maintain relationships with key stakeholders and team members to ensure a collaborative work environment to reach shared goals
• Ability to communicate effectively verbally and in writing, expressing complex concepts clearly and concisely in order to deliver messages suited to the audience
• Ability to identify issues or inconsistencies, obtain relevant information, relate and compare data from different sources and recommend alternative "out of the box" solutions
• Proven organizational and time management skills with the ability to continually re-prioritize and/or multi-task
• Demonstrate high attention to detail

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Paid training
• Vision insurance

From: Consociate Health