Provider Network Data • Formularies • Health Plan Design and Rate Data • Healthcare Provider Data Management • Enrollment
July 9
Provider Network Data • Formularies • Health Plan Design and Rate Data • Healthcare Provider Data Management • Enrollment
• Own customer support for all production groups and ensure the accuracy of member enrollment.
• High proficiency in EDI and/or API technologies (5+ years), specifically in insurance enrollment processes. • Knowledge about insurance industry standards and regulations concerning data connections (e.g., HIPAA, 834, LDEx). • Experience supporting customers, with a customer-centric approach to all your work. • A proactive, results-oriented mindset, capable of prioritizing and managing multiple projects in a fast-paced environment. • Strong written and verbal communication skills, capable of conveying technical concepts effectively and professionally. • Enjoy working with and delighting customers. • A desire to develop your technical skills with the latest technologies. • Analytical skills with keen attention to detail. • Familiarity with JIRA, Zendesk, Salesforce, or other CRM platforms.
• Actively manage tickets related to enrollment data exchange, ensuring accurate and timely completion of all assigned tasks. • Monitor, respond to, and resolve production discrepancies within established SLA’s. • Deliver quality work with an eye for detail, delighting customers through clear, concise, and professional communication. • Utilize metrics to monitor and adjust performance for optimal efficiency. • Meet with platforms and manage relationships, owning issue resolution to drive high customer satisfaction. • Communicate technical concepts clearly and concisely to ensure platforms and carriers understand requirements and respond promptly. • Utilize Ideon’s proprietary toolset to manage work and deliver high-quality results for customers. • Contribute actively to a high-performing team focused on delivering resolutions to customers while sharing and contributing to organizational knowledge.
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