JOB SUMMARY (added February 2024)
The Managed Services Consultant II is responsible for providing exceptional support to our clients who participate in the ReconRx reconciliation program. They interact with clients, payors, and data feed providers via email, messaging application (clients only), and phone. They are responsible for resolving clients’ outstanding claims and maintaining detailed documentation of all actions taken. This individual routinely reviews and deciphers claims data as well as guides clients through various general accounting related reports. The Managed Services Consultant II works with the payors to ensure timely 835 file setups and requests missing 835 files as needed. They also regularly explain adjustments found on the 835 files to their assigned clients. The Managed Services Consultant II possess a strong understanding of the reconciliation service and escalates more complex inquiries.
ESSENTIAL DUTIES & RESPONSIBILITIES
- Assist customers with any program or service needs.
- Escalate any programming issues to the appropriate team.
- Create and cultivate relationships with clients.
- Scheduling and distribution of information for webinars, phone conferences, etc. with customers.
- Ability to identify common issues across multiple customers and in turn, notify leadership so a solution can be found
KNOWLEDGE & REQUIREMENTS
- Working knowledge of MS Office Suite
- Ability to multi-task in a fast-paced environment
- Detail-oriented and dedicated to follow through
- Ability to establish a strong rapport with customers
- Effective time management skills
- Ability to work well both independently and as a team member
- Minimum of 2-3 years of pharmacy experience preferred
- Minimum education of High School diploma
- Bilingual preferred
- Ability to read, write, and speak Spanish proficiently (bonus)
PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
- Frequent sitting in stationary position at a desk
- Occasional standing, walking, stooping, kneeling, squatting, and climbing stairs
- Occasional twisting of body
- Occasional reaching by extending hands and arms in any direction
- Occasional lifting, pulling, or pushing
Skills Required
- Working knowledge of Microsoft Office Suite
- Ability to multitask in a fast-paced environment
- Detail-oriented with strong follow-through
- Ability to establish strong rapport with customers
- Effective time management skills
- Ability to work independently and as part of a team
- Minimum of 2–3 years of pharmacy experience
- High school diploma or equivalent
- Bilingual ability
- Proficiency in reading, writing, and speaking Spanish
What We Do
Outcomes Operating, Inc. offers a comprehensive suite of clinical pharmacy solutions designed to enhance patient engagement and optimize pharmacy operations, bridging gaps in care to improve patient experience and outcomes.
