This position is responsible for processing, data entry and file maintenance of enrollment, assessment and dis-enrollment documentation for strategic business unit (SBU) operations.
* Effectively supports Magellan's SBU program operations ensuring that data is entered accurately and timely as required by contract service level agreements. * Communicates with appropriate contacts on eligibility issues and questions. * Answers incoming calls on eligibility, program benefits, plan limitations and point of sale edits from providers. * Proficient use of enrollment and claims point of sale for research and problem resolution. * Assists in data collection and reporting. * Completes bi-weekly checkwrite production for provider payment in the accounts payable system, reporting all operational issues and assisting with system issues. * Assists with quality monitoring and provides constructive feedback. * Reviews production reports, identifies issues and recommends resolutions. * Continually seeks to improve processes and increase efficiencies. * Assists in data collection and reporting. * Other special projects as required by management.
General Job Information
Customer Service Group
United States of America
United States of America (Non-Exempt)
Recruiting Start Date
Date Requisition Created
License and Certifications - Required
License and Certifications - Preferred
Other Job Requirements
* Must be a team player, flexible, organized and able to manage multiple tasks. * Possess strong verbal and written communication skills. * Possess interpersonal skills such as initiative, resourcefulness and integrity. * Ability to interact with internal and external clients with confidence, assertiveness and a pleasant demeanor. * Strong computer skills and working knowledge of Microsoft Office Suite. * Ability and willingness to learn other proprietary computer systems quickly and efficiently. * Experience in health care, managed care or pharmacy management preferred.
Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled
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