Description :

This role will have the responsibility of quality testing all of the benefit plans for Prime. They will work in tandem with the AIS team as they build the plan.

If the plan is missing something or the claim isn't adjudicating correctly they will send it back to the AIS team to correct.

This role has a very high level of attention to detail, there is no phone work. They may communicate internally back and forth with their team / AIS reps but that will be it.

They will have a scorecard once out of training. They will be expected to work 25 plans a week. This is a non-IT position falling under the operations vertical.

This team specifically works Medicare plans. This is a smaller team of 6 and growing to 12. These people will need to go and grab plans as needed vs having them assigned to them.

Additional Skills & Qualifications :

Minimum requirements :

Two or Four year degree required

1 year of Excel experience (No V lookups or Pivot Tables)

Preferred experience :

3 years of health care insurance experience.

Knowing medical terminology, deductible, copay, provider language will help them stand apart.

Experience in a production based environment is a plus. They do run a scorecard, roughly 25 plans worked a week is the standard.

Experience Level : Expert Level

Expert Level

About TEKsystems :

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity.

We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.

As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.

That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Last updated : 2024-04-29