An employer is looking for a highly-skilled Healthcare Benefit Analyst / Account Install Specialist (AIS) to join one of our largest national healthcare clients for a remote opportunity. As an AIS, you will be responsible for building and coding the new benefit plan designs into the corporation's claims processing system, RxClaim. Blue Cross Blue Shield (their client) sends information about their new or updated pharmacy benefit plans they offer to members, and you take this information to code and input it into RxClaim so that their system can process claims correctly. You will also implement benefit plan changes or updates. RxClaim is a computer program that prompts you through each step, and you will run through the system and code in the benefit plan information as you go. You do not need to have previous experience with RxClaim in order to be successful on this team. Additionally, you will be tasked with performing root-cause analysis for incoming inquiries regarding benefit coding or claims processing.
You will also be responsible for the following: system testing, supporting/monitoring system capabilities, providing Benefit Edit Tool (BET) submission support to clients, and general tasks related to the assurance of correct claims processing. You will also use Excel for plan build checklists and macros. The macros are created by IT, so you wont create macros, but you will learn to use them. Macros are used to add drug lists to the benefit plans in one large step instead of entering everything in individually for each plan. You will also run reports and queries to perform analysis on the plans you build. This is a collaborative and team-oriented environment, so you will also communicate and interact with other team members and departments. This is a contract opportunity with potential of conversion or extension based on performance. About the Company: Our current employees love it here! This is a growing healthcare company located in the Twin Cities are with huge potential for upward mobility and growth. The culture is second to none and they have a pervasive "work hard, play hard" mentality. They have a robust training and development program that lasts your first 5 weeks on the job. Additionally, the company strives to promote from within whenever available. It is important to note that this is a corporate healthcare setting and you will be working at a desk. Hours: The company's core hours are 9:00 AM-3:00 PM, so there is flexibility with start and end time as long as you work 8 hours daily, and start work no later than 9 am, and leave work no earlier than 3 pm each day. These hours will go into effect after the training period.
Training Hours: 8:00-5:00 PM, Monday-Friday for the first 5 weeks.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to
HR@insightglobal.com.
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- Bachelors degree or associate degree OR 2 or more years of applicable professional experience - Intermediate to advanced Excel skills, specifically, sorting and filtering -- ability to pass an excel test - Technical aptitude; ability to learn new technologies and processes quickly - Affinity for data; enjoy working within a data-intensive environment - Strong attention to detail - Strong team player
- Interest in getting your foot in the door and moving up within a large enterprise organization
-Strong internet connection and ability to work 100% remote
-Self sufficient and ability to work in a metric based environment
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.