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Job Description

Insight Global is seeking is seeking a highly skilled Healthcare Benefit Analyst / Account Install Specialist (AIS) to join one of our large PBM clients to help assist with peak season high volume. As an Account Install Specialist, you will be responsible for building and coding the new benefit plan designs into the corporations claims processing system, RxClaim. Prime Therapeutics has several different clients that send information about their new or updated pharmacy benefit plans they offer to members, and you will be responsible for taking this information to code and input it into RxClaim so that their system can process claims correctly. You will also implement benefit plan changes or updates. RxClaim is a computer program that prompts you through each step, and you will run through the system and code in the benefit plan information as you go. You do not need to have previous experience with RxClaim in order to be successful on this team, however, it would be beneficial to have prior experience or exposure. Additionally, you will be tasked with performing root-cause analysis for incoming inquiries regarding benefit coding or claims processing. This position pays 24/hr.

We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] . The EEOC "Know Your Rights" Poster is available here (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12ScreenRdr.pdf) .

To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Skills and Requirements

-Bachelors degree or associate degree OR 2 or more years of applicable professional experience

-Intermediate to advanced Excel skills, specifically, sorting and filtering

-Ability to pass an excel test

-Technical aptitude; ability to learn new technologies and processes quickly

-Affinity for data; enjoy working within a data-intensive environment

-Strong attention to detail

-Strong team player - AS400 system experience

- PBM experience

- Health care experience

- Insurance experience

- Claims experience null

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].