Description
Responsible for analyzing and interpreting documentation received in Revenue Cycle from sales, agents, and employer groups to accurately set-up and configure basic to moderately complex fully-funded benefit options, group structures, and membership using the OnBase and Facets systems. Conducts moderately complex analysis of Facets and OnBase information to provide issue resolution and respond to inquiries related to group and member set-up. Assists on project teams as assigned.
Essential Functions:
Analyze and interpret documentation received from Sales (EGI, NGI, Revisions, Client Fact Sheet, etc.) to determine Facets setup, configuration, and accurately build a variety of fully-funded benefit options, group structures, and enroll members.
Conduct moderately complex research as necessary to effectively resolve customer issues and respond to customer inquiries regarding group and member status through Facets documentation, phone calls, written correspondence, and approved form letters.
Participate in cross-functional training opportunities and process improvement initiatives within Revenue Cycle during the non-peak open enrollment periods.
Works under minimal direction guided by established policies and procedures.
Analyze multiple reports from various internal and external sources to determine and implement appropriate action to reconcile group/member discrepancies.
Maintain a basic understanding of all internal and external computer systems and reports that impact the group set-up and member enrollment process.
Participate in implementation workgroups with Sales and other business owners to ensure a transparent onboarding or renewal process for Key and Performance Guarantee groups.
Monitors and prioritizes work in the OnBase workflow queues to ensure that our department Service Level Agreements are met.
Additional Skills & Qualifications
Required High School Diploma or equivalent
Preferred Associate's Degree in business or health care related field
2 years of relevant experience in the healthcare industry or related field Required
Experience with FACETS Software in benefit and/or group configuration/maintenance or claims Preferred
Pay and Benefits
The pay range for this position is $20.00 - $22.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on May 28, 2025.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
