Medical Policy Manager jobs in Providence, RI

Job Description:

• Performs administrative functions required for servicing of insured policy, certificate issue, and premium billing/collection
• Process enrollment, terminations, plan changes, census changes, and billing changes based of the provisions of the Account Requirements
• Prepared certificates and schedule page, including any required endorsements for the policy
• Researches and responds to correspondence and phone calls from insured
• Assists and provides support with special projects to include new group implementation and maintenance
• Cross-trained on most administrative functions for routine processes, Should maintain an accuracy level of 98% and process activities 98% in standard
• Identifies, analyzes, and reports problems to the management staff promptly; suggests resolutions with full documentation

Top Skills:

1. Data entry - this is support for back office policy updated

2. Computer skills - pick up new systems easily, Word, Excel, Access, Microsoft Office

3. Communication - both written and verbal

4. Admin - must be able to multitask

5. Customer service - working internally and externally

Additional Skills & Qualifications:

• Great organizational skills
• Must be detail oriented

- Must have excellent communication skills - both written and verbal

• Must key/type at least 50 WPM
• Proficient in Microsoft office, Word, Excel, and Access
• Outgoing and customer oriented

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.