Medcost excels at helping our clients lower their health plan costs so they can provide more affordable benefitsThis success is driven by enthusiastic, customer-focused employees — people who seek innovative solutions and are passionate about delivering exceptional resultsThat’s why we are committed to investing in our workforce and fostering a thriving professional cultureWhen you join us, you’ll enjoy a positive work environment built on appreciation and flexibility, opportunities to grow personally and professionally, and competitive pay and benefitsWe invite you to advance your career with medcost and contribute to the growth and success of our company.
Senior analyst ii reports to: manager, operations flsa status: non-exempt position summary: this role is a high functioning role responsible for a variety of time-sensitive responsibilities and client facing functionThis position requires versatility, critical thinking skills and a broad range of operation knowledge to allow critical support to key aspects of claims operations and to utilize research skillsPosition carries responsibilities in specialized claim processing with corresponding production and quality goals in conjunction with defined turnaround goals of all work assignmentsPosition responsibilities:
Process claims for specialize work assignments meeting/exceeding production/quality goals
Acts as resource for end of contract support as assigned by management
Follow all policies and procedures established for the department
Develop skills and maintains all quality and production standards
Maintain good working relationships with all internal and external contacts to ensure optimal level of service
Position qualifications: required
Hs diploma/associates/bachelors/masters/doctorate in specific or general degree, or related
Proven track record of successful performance in analyst ii or senior analyst i
Preferred
Professional certification or system
Skills, knowledge and abilities
Excellent oral and written communication skills
Exceptional customer service, and interpersonal skills
Effective problem-solving and influencing skills
Strong organizational, self-motivation, and decision-making skills
Proficiency using microsoft programs (word, excel, powerpoint)
Ability to manage multiple priorities in a fast-paced environment
Ability to work independently and collaboratively, as needed
Key competencies:
Service orientation
Integrity
Ethical practice and confidentiality
Access to protected health information (phi) this position requires the employee to handle phi for duties related to enrollment and eligibility issuesAccess to the phi includes the mbs claim system, eligibility files and any other source necessary to complete client enrollmentPolicies and procedures will be strictly adhered to make sure phi is protected as required by the hipaa privacy rulePrivacy and security responsibilities: responsible and accountable for maintaining the confidentiality, integrity, and availability of protected health informationFollow hipaa security policies and procedures affecting your job and report any suspected or actual violation or breach.
Essential physical functions:
This position operates in a professional office environmentThis role routinely uses standard office equipmentWhile performing the duties of this position, the employee is occasionally required to stand; walk; sit, push, pull; use hands to finger, handle, or feel objects, tools or controls, reach with hands and arms; climb stairs; talk and/or hearThe employee must occasionally lift or move office products and supplies, up to 20 poundsReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Medcost provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local lawsThis policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Medcost participates in the electronic verification system (e-verify) to electronically verify the work authorization of newly-hired employeesE-verify is an internet-based program that compares information from an employee`s form i-9 to data contained in the federal records of the social security administration and the department of homeland security to confirm employment eligibilityMedcost does not use e-verify to pre-screen job applicants.
