Product Coordinator, Automated Medicare Solutions
The Product Operations Coordinator ensures that the products we deliver are implemented and functioning as intended for our clients.
The primary responsibilities are implementing new clients and ensuring DDMSA, MSA Link and Section 111 Data Population are working as intended.
* Manage MSA Link claim initiation
+ Including filtering of MSA Link report and using automation to send e-mails while full automation is built.
+ When automation is live, review daily and monthly files.
This includes
o Fix any files where there is a missing adjuster or other missing information.
o If the MSA Link job fails, or any individual files fail, fix file and reload file.
If unable to the file, then notify team and work with IT team for a resolution.
+ Monitor and document responses from clients.
This includes
o Clients who have to give permission to proceed.
o Clients who have to provide settlement amount to determine appropriate service.
+ Monitor client volumes
o When client volumes deviate from expected, perform analysis to determine cause.
+ Set-up and turn on new clients
o Test new client set-ups to ensure working properly
o Pull lookback reports for Sales for new clients
* Data-Driven MSA
+ Set-up DDMSAs in Crosspoint
+ Perform initial review of referrals including:
o Insuring all required data is received
o ICD codes are consistent with ICD codes in the S.111
+ Move DDMSAs to projection milestone.
* For Section 111 Data Population clients
+ Coordination of new client set-up
+ For manual clients (CNA) request settlement documents, place settlement documents in DNav, and QA results.
* Maintain Client Tracker documentation sheet
+ Ensure Tracker is up-to-date with new clients
+ Ensure Trigger documentation is accurately reflect Trigger rules and is updated with new clients and changes to existing clients
* Serve as a back-up and provide coverage for CP Link Product Operations Coordinator including:
+ Review daily and monthly CP Link and Trigger files.
This includes
o Fix any files where there is a missing adjuster, Part C/D plan information, or other missing information.
o If the CP Link job fails, or any individual files fail, fix file and reload file.
If unable to the file, then notify team and work with IT team for a resolution.
+ Handle monthly conversion client files
* Experience with data analysis and manipulation using Excel (v look-up, pivot tables)
* Well organized and able to prioritize work independently
* Excellent written and oral communication with internal team members
* Team player open to working with other departments within Verisk
* Ability to learn new concepts quickly
* Bachelor's De...
- Rate: Not Specified
- Location: Woburn, US-MA
- Type: Permanent
- Industry: Finance
- Recruiter: ISO CLAIMS PARTNERS INC
- Contact: Not Specified
- Email: to view click here
- Reference: 1276
- Posted: 2025-05-19 08:08:09 -
- View all Jobs from ISO CLAIMS PARTNERS INC
More Jobs from ISO CLAIMS PARTNERS INC
- Postbote für Pakete und Briefe (m/w/d)
- Night Receptionist
- Postbote für Pakete und Briefe – Aushilfe (m/w/d)
- Logistics Allocator
- Production & Forklift Operators
- Mobile Equipment Mechanic
- Division Asset Centered Operations Leader
- Automation Systems Analyst
- Process Engineer
- Cosmetologist
- Maintenance Planner
- Tig Welder - Aerospace Manufacturing (2nd Shift 3:30 PM - 12:00 AM) (City of Industry, CA)
- Sr Assembler - Aerospace manufacturing (Cudahy, CA)
- Operations Supervisor - Aerospace Manufacturing (City of Industry, CA)
- Heat Treat Operator (Albany, OR)
- 2nd shift CNC Operator (Aerospace Industry) (Bloomington, MN)
- Controller
- Director, Finance
- Valve Design Engineer
- New Business Manager; U500 (Hybrid; Georgia/Alabama)