Account Install Specialist - Remote

Prime Therapeutics; Boise (ID); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading pharmacy benefits management company is seeking an Account Install Specialist for a remote position. This entry-level role involves coding client benefit plans, supporting client inquiries, and conducting system testing. Candidates must have a high school diploma and strong attention to detail. The position offers competitive pay ranging from $19.23 to $28.85 based on experience and skills.

Benefits

Comprehensive benefits package

Opportunities for advancement

Flexible work environment

Qualifications

• High school diploma or GED required.
• No prior experience may be required.
• Ability to manage multiple projects under strict deadlines.
• Experience in pharmacy benefit design preferred.

Responsibilities

• Code and document benefits for new or renewing business.
• Provide support and respond to client inquiries.
• Conduct system testing to verify benefits entry.
• Promote continuous process improvement.

Skills

Analytical skills

Problem-solving skills

Organizational skills

Attention to detail

Customer service

Education

HS diploma or GED

Associate’s degree in Business or related area

Tools

Microsoft Word

Microsoft Excel

Job description

Overview

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Title

Account Install Specialist - Remote

Job Description

The Account Install Specialist is responsible for interpreting and entering correct benefit plan designs into the claims processing system (AS400) as submitted to Prime with collaboration between the Account Install Analyst, Pharmacist, and Quality Audit roles. This position also conducts initial system testing and resolves issues to ensure accuracy of claims processing.

Responsibilities

• Receive incoming client benefit plan designs and appropriately code and document benefits for new or renewing business
• Provide benefit plan submission support to clients and respond and resolve client submission questions or issues in a timely manner
• Perform condensed system testing to verify benefits are entered correctly and forward benefit plan submissions to Quality Audit staff for full plan testing and certification
• May provide coaching to new Account Install Specialists and conduct first reviews of plan build; May participate in cross-functional projects to ensure identification and adoption of operational best practices, project collaboration, and issue resolution
• Strive to promote continuous process improvement; Resolve set-up issues and/or escalate system defects for Commercial and Health Insurance Marketplace with sense of urgency to avoid member disruption
• Other duties as assigned

Minimum Qualifications

• HS diploma or GED required
• May have no prior experience

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Analytical and problem-solving skills with high level of attention to detail
• Organizational skills with ability to work on multiple projects simultaneously and under strict timelines
• Ability to implement process improvement plans with strong commitment toward continuous process improvement and customer service
• Experience with Microsoft Word and Excel
• Proven technical knowledge and ability

Preferred Qualifications

• Associate’s degree in Business, health care or related area of study, or equivalent combination of education and/or relevant work experience in health care, health care operations, data entry, claims processing, or related work
• 1 year of work experience in pharmacy benefit design, claims processing, or related role in Pharmacy Benefit Management (PBM)

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

Compliance and Equal Opportunity Prime Therapeutics LLC is an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email [e-mail].