Account Install Specialist - Remote

Prime Therapeutics • Santa Fe, NM • 12h ago

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Job Description

The Account Install Specialist is responsible for interpreting and entering correct benefit plan designs into the claims processing system (AS400) as submitted to Prime with collaboration between the Account Install Analyst, Pharmacist, and Quality Audit roles. This position also conducts initial system testing and resolves issues to ensure accuracy of claims processing.

Responsibilities

Receive incoming client benefit plan designs and appropriately code and document benefits for new or renewing business

Provide benefit plan submission support to clients and respond and resolve client submission questions or issues in a timely manner

Perform condensed system testing to verify benefits are entered correctly and forward benefit plan submissions to Quality Audit staff for full plan testing and certification

May provide coaching to new Account Install Specialists and conduct first reviews of plan build; May participate in cross-functional projects to ensure identification and adoption of operational best practices, project collaboration, and issue resolution

Strive to promote continuous process improvement; Resolve set-up issues and/or escalate system defects for Commercial and Health Insurance Marketplace with sense of urgency to avoid member disruption

Other duties as assigned

Minimum Qualifications

HS diploma or GED required

May have no prior experience

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

Analytical and problem-solving skills with high level of attention to detail

Organizational skills with ability to work on multiple projects simultaneously and under strict timelines

Ability to implement process improvement plans with strong commitment toward continuous process improvement and customer service

Experience with Microsoft Word and Excel

Proven technical knowledge and ability

Preferred Qualifications

Associate's degree in Business, health care or related area of study, or equivalent combination of education and/or relevant work experience in health care, health care operations, data entry, claims processing, or related work;

1 year of work experience in pharmacy benefit design, claims processing, or related role in Pharmacy Benefit Management (PBM)

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. _?

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer._

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. ?? ?

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.

Go to Apply

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