Benefit Coder

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POST DATE 8/20/2016
END DATE 12/19/2016

W3R Consulting Dallas, TX

Dallas, TX
AJE Ref #
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Full Time
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Job Title: Benefit Coder

Location: Dallas, TX


The role is responsible for execution of requests related to benefit maintenance, additions and changes across all business units within the RxClaim system. Review, analyze and handle client benefit information requests received via or email. Assess completeness and accuracy of data, resolve issues based on acquired learning and tools and escalate issues on a timely basis. Ensure that individual, team-specific and site-wide metrics are achieved. Activities include but are not limited to manual coding, execution of macros and testing.

* Performs benefit design requests to ensure high quality results
* Utilizes sound critical thinking skills, including the consistent application of departmental standardized operating procedures such as benefit designs, including verification and testing activities
* Tracks all benefit design requests within to ensure timeliness metrics
* Provides solution based approach and determine root cause of data anomalies
* Assist in communicating with both external and internal partners all aspects of benefit set up including but not limited to the explanation of the benefit design, and when applicable reasonable turnaround time and potential risks
* Research data issues and open problem tickets as necessary
* Document issues, root causes and business impacts for future reference
* Support design and testing for system issues or enhancements
* Assist in defining business requirements for production fixes or new enhancements
* Participates in review sessions of the requirements with the client and the Accenture managers
* Reviews testing scenarios to ensure full and comprehensive test of system changes
* Create/test Action Plans for the production fixes or enhancements identified and review with the team


* Good interpersonal skills
* Analytical and fact-based decision-maker
* Ability to quickly identify issues and risks and provide recommendations -
* High motivational skills
* Experience in team interactions and facilitation
* Fast, enthusiastic learner
* Open to change
* Receptive to feedback
* Team player
* Average communication skills
* Ability to do multiple tasks
* Details oriented
* Attention to accuracy and quality
* Basic PC knowledge
* Ability to prioritize,
* 1-2 years of experience