Representative, Payer Conversions

Inmar Inc.; Guadalupe; On-site; MXN 180,000 - 240,000; Full time

Job summary

Inmar Inc. is seeking a Conversion Representative to join our team in Mexico.

This office-based role focuses on converting paper remittance advice to electronic formats, establishing secure transmission with carriers, and building relationships with Pharmacy Benefit Managers and insurers. The ideal candidate will have a Bachelor's degree or equivalent experience, strong Excel/Google Workspace skills, and the ability to work independently in a fast-paced environment while maintaining accurate

Qualifications

• Bachelor's degree or 4+ years of related experience in business administration, accounting, finance, or related field.
• Intermediate MS Excel and Google Workspace proficiency.
• Ability to work in a fast-paced, high-capacity environment.
• Ability to work independently and complete tasks with minimal instruction.
• Ability to maintain accurate, confidential records and documents.

Responsibilities

• Convert paper remittance advice to electronic remittance advice to streamline processes.
• Create and maintain conversion tracking logs for clients.
• Participate in onboarding meetings with clients and report metrics.
• Communicate with Pharmacy Benefit Managers and Insurance Carriers to retrieve electronic remittances.

Skills

Communication skills

Attention to detail

Time management

Education

Bachelor's degree in business administration, accounting, finance, or related field

Tools

MS Excel

Google Workspace

EDI/SFTP knowledge

Job description

This role is office-based in Mexico. The role requires professional fluency in English (spoken and written). Under the minimal supervision of the PRCM Operations Supervisor or PRCM Operations Manager and through collaboration with fellow team members, the Conversion Representative facilitates resolving Unapplied Cash Category 1 (UAC Cat 1) through the conversion of paper remittance advice to electronic remittance advice, setting up secure transmission connections with carriers, and establishing working relationships with Pharmacy Benefit Managers and insurance carriers.

Major Responsibilities/Essential Functions

• Facilitate the conversion from paper remittance advice to electronic remittance advice. Electronic remittance conversion is key as it reduces manual efforts of managing paper remittance. (70%) Analyze client/carrier trends to identify conversion opportunities
• Create and maintain conversion tracking logs for all assigned clients
• Participates in Onboarding meetings with clients
• Responsible for weekly/monthly updates to the Conversion team metrics
• Professionally communicate with Pharmacy Benefit Managers and Insurance Carriers to retrieve electronic remittance advices (15%): Establish a working relationship with the client’s Pharmacy Benefit Managers and Insurance Carriers.
• Understand the communications channels within the assigned Pharmacy Benefit Manager and Insurance Carriers. Must be able to track requests for the conversion to electronic remittances.
• Consistently follow-up on electronic conversion requests with carriers
• Collaborate with other teams key functional teams as necessary (10%): Proactively communicate any known issues to team members.
• Escalate items as needed to manager for higher level distribution
• Prioritize conversion requests to meet the demands of a diverse client base
• Communicates with Client Service and Client Operations teams regarding conversion updates
• Communicates with EDI/NOC/SFTP centralization team for electronic communication setups and password resets
• Perform special projects and other duties as assigned by management (5%)
• Follow HIPAA policies and procedures per company guidelines

Minimum Requirements

• Bachelor's degree (B.A.) from four-year college or university with a major in business administration, accounting, finance, or related field OR four or more years of related work experience and/or training; OR equivalent combination of training and experience
• Intermediate-level proficiency using MS Excel and Google Workspace
• Ability to work in fast paced, high capacity work environment
• Ability to proceed independently and carry out assignments to completion with minimal instruction.
• Ability to create documents requiring accuracy and confidential handling
• Ability to maintain detailed, accurate records and files
• Ability to organize tasks and time to ensure timely completion of all projects
• Ability to use good judgment in recognizing scope of authority
• Ability to facilitate communications and problem solve

HELP US MAKE BUSINESSES SMARTER TO IMPROVE CONSUMERS' LIVES. Through curiosity and the intelligent use of data and technology, we uncover valuable insights that make it easier for businesses to understand, predict and meet the personalized needs of consumers - so they can live their lives to the fullest.

Are you looking for work that matters, and a career where you can use your expertise and passion to make a difference? Then you might be the right person for one of these open positions.

We are an Equal Opportunity Employer, including disability/vets.

If you need accommodations completing the job application, please contact at [e-mail] or call 336.631.2500.

To see other employment opportunities we currently have at Inmar, please visit our career page www.inmar.com/careers.