What are the responsibilities and job description for the Operation associate position at PGBA?
Description
Position Purpose :
Provides first and second level technical support to a variety of customers comprising the submitter community, as well as basic internal support via analysis and research into EDI-related issues as required by business contracts.
The position resides in the EDIG (Electronic Data Interchange Gateway) team working on the Operations side with a team of operation associates.
The position requires that the individual can pass a C-2 Security Clearance. We are looking for a self-starter, team player, and has great communication skills.
The main part of the job will be answering phones and assisting trading partners and clearing houses. The position works closely with the team lead on direction and job assignment.
The operations team interacts with a host team and non-host team in order to support the EDIG process managing healthcare claims
POSITION REQUIRES A SECURITY CLEARANCE, WHICH REQUIRES US CITIZENSHIP TO OBTAIN.
What You'll Do :
- Provides quality / timely internal / external customer technical support / service for variety of insurance contracts as assigned.
- This encompasses, but is not limited to, support of communication interfaces / transactions / functions as required by insurance laws (such as support of claims, remit advices, inquiry / response for claims status / eligibility, enrollment, premium payment etc.
support of all current formats / transactions required by law / BCBSSC lines of business.
Responsible for the setup of all electronic transactions submission by processing enrollment applications, updating associated system files, and managing customer notification.
To Qualify for This Position, You'll Need :
Required Education :
Associate's Degree
Required Work Experience :
2 years of applicable EDI experience.
Degree Equivalency :
2 years job related work experience.
Required Skills and Abilities :
- Good system research and analysis skills.
- Working knowledge of relevant EDI software and tools used by the company / contract.
- Good organizational, judgment, customer service, and both verbal and written communication skills.
- Good spelling, punctuation, and grammar skills.
- Basic math and computer skills.
- Ability to handle confidential or sensitive information with discretion.
Required Software and Other Tools : Microsoft Office.
We Prefer that You Have :
Preferred Work Experience : 3 years-of applicable EDI experience.
What we Can Do for You :
Our comprehensive benefits package includes :
401(k) retirement savings plan with company match
Life insurance
Paid annual leave - the longer you work here, the more you earn.
Nine paid holidays
On-site cafeterias and fitness centers in major locations
Wellness programs and a healthy lifestyle premium discount
Tuition assistance
Service recognition
Work Environment : Typical office environment.
Last updated : 2024-05-19
