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Eligibility Specialist (Claims Processor) in Dublin, OH at Strategic Staffing Solutions

Date Posted: 11/2/2018

Job Snapshot

  • Employee Type:
    Contractor
  • Location:
    5151 Blazer Memorial Parkway
    Dublin, OH
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    11/2/2018

Job Description

JobID: 142663

Job Title: Eligibility Specialist (Claims Processor)

Duration: 12 Month Contract to Hire 30+ OPENINGS!!!

Location: Blazer Memorial Parkway Dublin, OH 43017

Pay: $13.50-$14 (D.O.E)

To apply: Please email your resume in Word Format to Jamie Newkirk at: jnewkirk@strategicstaff.com and Reference Job Order #: 142663 or Click the Apply Button.

Strategic Staffing Solutions (S3) is seeking 20+ Eligibility Specialists (Claims Processor) for a contract to hire opportunity at one of our top pharmaceutical companies. This position requires that the selected candidate be located in Dublin, OH. There are 20+ openings, hiring manager is looking to hire IMMEDIATELY!!

The Eligibility Specialist (Claims Processor) will need to have at least 2-3 years of pharmacy or medical background work.  

Required Skills:

  • High school diploma or GED required, Bachelor’s degree preferred
  • 2-3 years of relevant working experience to include one year of health care experience with medical insurance knowledge and terminology; Patient Access knowledge
  • Billing and Reimbursement experience, and knowledge of RxHome, are strongly desired.
  • Intermediate data entry skills and working knowledge of Microsoft Office
  • Excellent phone presentation and communication skills
  • Demonstrated ability to handle challenging customers in a professional manner
  • Ability to adapt in a dynamic work environment and make decisions with minimal supervision
  • Advanced problem solving skills and the ability to work collaboratively with other departments to resolve issues with innovative solutions

Job Responsibilities:

  • Performs all aspects of electronic claims process and rejection resolution
  • Ensures accounts requiring authorizations and re-authorizations are identified, secured, and updated in RX Home prior to each shipment; Notifies as appropriate if authorization cannot be obtained
  • Contacts benefit providers to gather policy benefits/limitations to ensure services provided will be reimbursable (e.g., deductible amounts, co-payments, effective date, levels of care, authorization, etc.)
  • Handles inbound client calls and written correspondence regarding patient eligibility

$$ WE OFFER A REFERRAL FEE FOR ANYONE REFERRED & HIRED WITH S3! $$

Strategic Staffing Solutions (S3), based in Detroit, Michigan, prides itself on being an international, woman-owned, $260 million IT and Business Services Corporation. We are ranked 16th among the largest staffing firms in the US by Staffing Industry Report and are one of five companies nationally certified as a Charter Partner with Staffing Industry Analysts.  S3 provides IT consulting, customized project solutions, vendor management programs and executive search services to financial institutions, insurance, energy, oil/gas, telecommunication, government, retail and health care industries worldwide.  We have more than 2,700 consultants and 31 offices in the US and Europe.S3 is also proud to be nationally recognized as both a Military Friendly and Military Spouse Friendly Employer.

As an S3 employee, you’re eligible for a full benefits package which may include: Medical Insurance, Dental Insurance, Vision Insurance, 401(k) Plan, Vacation Package, Life & Disability Insurance Plans, Flexible Spending Accounts, and Tuition Reimbursement.

The global mission of S3 is to build trusting relationships and deliver solutions that positively impact our customers, our consultants, and our communities.  The four pillars of our company are to: Set the bar high for what a company should do, Create jobs, Offer people an opportunity to succeed and change their station in life, and improve the communities where we live and work through volunteering and charitable giving.

Strategic Staffing Solutions is an Equal Opportunity Employer

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