Excellent conflict resolution and interpersonal skills and the ability to build lasting relationships with customers.
Excellent organization and prioritization skills, with a strong work ethic. Highly detail oriented.
Excellent facilitation, follow-up and documentation skills.
Exceptional analytical and conceptual thinking and problem-solving abilities Demonstrates proficiency in eliciting, analyzing, and documenting requirements business and technical for stakeholders.
Ability to lead and work within a team.
Sound problem-solving and decision-making skills to troubleshoot customer issues and concerns.
Knowledge of Claims Processing, Benefit plan interpretation.
Strong oral and written communication skills. Above average numeric skills, including ability to reconcile statements and discrepancies.
834 trained with processing knowledge, SME on processing procedures with the ability to assist with working production queues as needed.
Advanced skills in Microsoft Office suite: Outlook, Excel, Word, and PowerPoint.
Conceive, plan, and execute projects related to the strategic needs of the company.
Provides continuous flow of complex information and work results to higher levels.
Must be familiar with the insurance industry.
Demonstrates flexibility and resilience when faced with multiple demands, shifting priorities, ambiguity and rapid change.
Maintains confidentiality.
Work Independently.
Ability to understand & follow statutory, regulatory and contractual requirements, verbal instructions, and written policies and procedures.
Strong interest in, and knowledge of, federal health policy, particularly regarding national healthcare reform and Exchanges. Experience interpreting and implementing federal regulations, and experience translating regulations into business requirements, strongly preferred.