TECHNICAL ADVISOR ELIGIBILITY

Job Snapshot

Job ID: 52208

Location: Latham, NY

Posted: 9/12/2017

Category: Other

Experience: At least 4 year(s)

Education: See Requirements

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Technical Advisor, National Eligibility Processing and Claims Clinical Services  to join our team at our office in Latham, New York.  The Technical Advisor, National Eligibility Processing and Claims Clinical Services will provide technical support to the Eligibility Specialists and Authorization Review Analysts, identify/ trends system related issues, assists with the development of training tools and policies and procedures and provides staff training. This position supports all clients across all divisions.

Position Responsibilities:

  • Provide technical assistance to the staff
  • Assign urgent inquiries to the appropriate staff
  • Monitor and distribute emails received in the Eligibility Production Support email Inbox. Ensure that the Specialists are following through on each email request.
  • Perform quality checks of the staff which includes auditing of inquiries, manual updates and file loads. Provide feedback to the staff and the management team as dictated in the Integrated Eligibility Quality Program.
  • Trend data and perform individual and group up training if trends are identified.
  • Review issues with file loads and general eligibility issues prior to contacting the business system analysts
  • Analyze inquiry and error report trends in an effort to proactively identify client service improvement opportunities.
  • Participate in process improvement workgroups
  • Support testing for systems modifications.
  • Provide training to new staff and remedial training to existing staff.
  • Input staff production into the production database.

Position Requirements:

•     Education:  A high school/GED diploma is required.  A Bachelors Degree is preferred    

•     Licensures: none     

•     Relevant Work Experience:  Two – four years’ experience in health care/health insurance, in an eligibility setting, is preferred. Strong computer skills with knowledge of Excel, Word, Access, Powerpoint and Intranet applications is required

To Apply:

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

Job Requirements

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  • 5,000 employees nationally and in the U.K.,serving more than 48 million people.
  • My team at Beacon Health Options welcomed me immediately. Collaborating with so many talented individuals within the organization gives me a daily opportunity to see the great work we do in action. - Proposal Specialist, Norfolk, VA
  • Over 350 clients, including 225 employer clients, 45 Fortune 500 companies and partnerships with almost 100 health plans
  • What I like most about Beacon is that the people who work here are smart and dedicated to the company's mission. Beacon is at the forefront of changing mental healthcare delivery, so the work is exciting and meaningful. - Analyst, Boston, MA
  • Serving 8.5 million military personnel, federal civilians and their families.