Job Title: Claims Specialist/Data Entry
Location: Mason, OH 45040 (Hybrid)
Pay range: $23 – 25/hr. on W2 (depending on experience/interview)
Job Type: Contract role
Shift: 8 am – 5:00pm Monday to Friday
Job Description:
HYBRID- MASON, OH - 2-3x in office Serve as a Specialist on the Plan Setup Team responsible for setting up and maintaining EyeMed's managed vision care clients in our core administration system.
Major Duties and Responsibilities
Responsible for setting up new Managed Care groups in the claims system
Responsible for fulfilling requested revisions to existing Managed Care group in the claims system (except Reseller product changes)
Responsible for creating "standard” products in the system (using the Product Key Sheet method)
Responsible for performing audits on client setup or maintenance requests (excludes complex product configuration requests)
Follow the established corporate and industry audit controls (i.e. SOX, SSAE 18, etc.)
Job Summary:
Provides exceptional service and support to all EyeMed Providers/Locations through execution of provider/location database requests within established performance metrics.
Responsible for setting up and maintaining clients in the claims processing system.
Supporting the Plan Setup team by assisting with daily administrative duties, including evaluating new requests, coordinating work assignments, running/preparing management reports, performing audits on client setup or maintenance requests (excludes complex product configuration requests)
Follow the established corporate and industry audit controls (i.e. SOX, SSAE 18, etc.)
Specific Skills Needed:
Minimum of 1-3 years’ experience working in a data entry position
Proficient at working on a computer (requirement)
Experience using Microsoft Word and Microsoft Excel software (requirement)
Ability to work well in a team setting
Strong communication and analytical analysis skills required
Previous system testing or auditing experience a plus
Experience in the Healthcare industry a plus
Education: College degree or experience required
There will actually be 5 courses that required for all temporary employees:
3 for Compliance purposes and 2 for HiTrust / Security requirements:
1. General Compliance
2. HIPAA
3. Fraud, Waste, and Abuse
4. Security Essentials
5. Introduction to Phishing
“Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.”
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