Managed Services Consultant II - WDM

Posted Yesterday
Be an Early Applicant
50266, West des Moines, IA, USA
Hybrid
Mid level
Healthtech • Information Technology • Software • Pharmaceutical
The Role
Provides client support for a pharmacy claims reconciliation program by resolving outstanding claims, reviewing claims and 835 remittance data, explaining accounting adjustments, coordinating file setup with payors, documenting actions, and escalating complex or programming issues. The role builds client relationships, supports webinars and conferences, identifies recurring issues, and communicates solutions to leadership. It requires three years of experience, preferably in pharmacy or accounting, plus Microsoft Office proficiency and strong customer service skills.
Summary Generated by Built In

JOB SUMMARY 

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 Client Account Representative 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 Client Account Representative 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
Qualifications

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
  • Ability to read, write, and speak Spanish proficiently (bonus)

EDUCATION & EXPERIENCE REQUIREMENTS

  • Minimum years of work experience:   3 years
    • Retail pharmacy and/or accounting experience preferred
  • Minimum level of education or education/experience:   High School Diploma

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

What’s In It For You?

  • Medical, Dental and Vision Plans
  • Voluntary Benefits
  • HSA & FSA
  • Fertility & Family Planning Benefits
  • Paid Parental Leave
  • Adoption Assistance Program
  • Employee Resource Groups
  • Flex PTO for Exempt Associates & up to 15 PTO days in first year of employment for non-exempt associates
  • 11 Paid Holidays
  • Corporate Wellness Program
  • 401k Employer Match & Roth Option Available – immediate eligibility

#LI-RL1

#LI-HYBRID

Skills Required

  • High school diploma
  • At least 3 years of work experience
  • Working knowledge of Microsoft Office Suite
  • Ability to multitask in a fast-paced environment
  • Strong attention to detail and follow-through
  • Ability to establish strong rapport with customers
  • Effective time management skills
  • Ability to work independently and as part of a team
  • Minimum 2–3 years of pharmacy experience
  • Retail pharmacy and/or accounting experience
  • Proficiency in Spanish
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Chantilly, VA
846 Employees
Year Founded: 2015

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.

Similar Jobs

Qualtrics Logo Qualtrics

Senior Solution Manager, Customer Journey

Artificial Intelligence • HR Tech • Information Technology • Software • Business Intelligence
Remote or Hybrid
United States
7500 Employees
172K-228K Annually

Qualtrics Logo Qualtrics

Solution Manager, Customer Journey

Artificial Intelligence • HR Tech • Information Technology • Software • Business Intelligence
Remote or Hybrid
United States
7500 Employees
118K-157K Annually

Sprinter Health Logo Sprinter Health

Bilingual Patient Engagement Specialist I - English/Spanish

Artificial Intelligence • Healthtech • Logistics • Social Impact • Software • Telehealth
Remote or Hybrid
United States
500 Employees

Sprinter Health Logo Sprinter Health

Patient Engagement Specialist I

Artificial Intelligence • Healthtech • Logistics • Social Impact • Software • Telehealth
Remote or Hybrid
United States
500 Employees

Similar Companies Hiring

Revel Thumbnail
Aerospace • Hardware • Robotics • Software
Marina Del Rey, California
70 Employees
Blee Thumbnail
Artificial Intelligence • Marketing Tech • Software
New York, New York
33 Employees
RapidScale Thumbnail
Cloud • Information Technology • Consulting
Raleigh, NC
600 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account