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 TitleSenior Enrollment SpecialistJob Description SummaryThis position is responsible for processing, data entry and file maintenance of enrollment, assessment and dis-enrollment documentation for strategic business unit (SBU) operations.Job Description
Effectively supports Magellan's SBU program operations ensuring that data is entered accurately and timely as required by contract service level agreements.
Communicates with appropriate contacts on eligibility issues and questions.
Answers incoming calls on eligibility, program benefits, plan limitations and point of sale edits from providers.
Proficient use of enrollment and claims point of sale for research and problem resolution.
Assists in data collection and reporting.
Completes bi-weekly checkwrite production for provider payment in the accounts payable system, reporting all operational issues and assisting with system issues.
Assists with quality monitoring and provides constructive feedback.
Reviews production reports, identifies issues and recommends resolutions; continually seeks to improve processes and increase efficiencies.
Assists in data collection and reporting.
Other special projects as required by management.
Responsibilities
Must be a team player, flexible, organized and able to manage multiple tasks.
Possess strong verbal and written communication skills.
Possess interpersonal skills such as initiative, resourcefulness and integrity.
Ability to interact with internal and external clients with confidence, assertiveness and a pleasant demeanor.
Strong computer skills and working knowledge of Microsoft Office Suite.
Ability and willingness to learn other proprietary computer systems quickly and efficiently.
Experience in health care, managed care or pharmacy management preferred.
Work ExperienceWork Experience - Required:Customer ServiceWork Experience - Preferred:EducationEducation - Required:Education - Preferred:BachelorsCertificationsCertifications - Required:Certifications - Preferred:Potential pay for this position ranges from $18.87 - $28.30 based on experience and skills. Pay range may vary by 8% depending on applicant location.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/careers/benefits/) and click on the "Benefits at a glance" button for more detail.Prime Therapeutics LLC is an Equal Opportunity Employer and a Tobacco-free workplace . We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures .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 an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. 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 [email protected].