RX Accumulator Specialist I

    • Job Tracking ID: 512935-743216
    • Job Location: Meridian, ID
    • Job Level: Entry Level (less than 2 years)
    • Level of Education: High School/GED
    • Job Type: Full-Time/Regular
    • Date Updated: September 22, 2020
    • Years of Experience: Up to 2 Years
    • Starting Date: November 9, 2020
    • Salary Type:: Hourly
    • Rate:: $12.75
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Job Description:

Team member will be responsible for all aspects of the Rx accumulator load process, this will include updating member’s Medical and RX deductible and out-of-pocket dollars. The daily report reconciliation, and the monitoring of members accumulators to ensure their Deductible and Out of Pocket dollars are accurately reflected. 

Key Result Areas

Essential

  • Self-Motivated
  • Critical Thinking skills
  • Good working knowledge of Microsoft Excel
  • Excellent problem solving skills
  • Attention to Detail
  • Ability to multi-task
  • Reconciliation of daily load reports
  • Monitor members monthly to ensure Deductible, OOP dollars are reflected accurately.
  • Facilitate adjustment requests of medical claims for over applied deductible and/or out of pocket dollars.
  • Maintain a 2 day turn-around time for internal and external inquiries
  • Identify and escalate any issues that arise which would cause a negative impact to members and/or clients.
  • Complete regular audits to ensure data is accurately displayed

Additional

  • Understanding the impact inaccuracies have on our members, brokers and clients.
  • Perform other duties as assigned to assist team members
  • Bring forward ideas for process improvement

Experience and Skills:

  • High school education or equivalent.
  • Team and Goal oriented
  • Good knowledge of Microsoft office (Word, Excel, Outlook, etc)
  • Good written and verbal communication skills
  • Good organizational Skills
  • Industry knowledge of TPA products preferred
  • Ability to work efficiently, perform multi-tasking, prioritize tasks, and meet tight deadlines
  • Ability to maintain excellent working relationships with all departments
  • Demonstrate a strong attendance record with minimal un-scheduled absences               

Typical Minimum Standards

  • Must maintain good customer service relationships with internal and external customers.
  • Adherence to the values and mission of AmeriBen/ IEC Group.
  • Completes all projects in a timely and accurate manner.

 

AmeriBen is an Equal Opportunity/Affirmative Action Employer committed to creating an environment of diversity and inclusion for equal employment and advancement opportunities to all employees and applicants for employment.  All qualified applicants will receive consideration for employment without regard to race, religion, color, age, national origin, sex, sexual orientation, gender identity and/or expression, genetic information, disability, veteran or military status, or any other category protected by federal, state and/or local law.

 

If you are unable to use our online application process due to a disability, please contact the Human Resources Department at humanresources@ameriben.com.