Lumeris Producer Support Representative lll in St. Louis, Missouri

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Position:

Producer Support Representative lll

Position Summary:

The Producer Support Associate III (Commission Processor) is responsible for maintaining a database of producer demographic data and enrollments to accurately perform commission calculations and forward for payment. The position also provides back-up to the Producer Support Team by responding to producer inquiries and escalated issues.

Job Description:

Role and Responsibility

  • Perform administrative aspects of commission payments such as routine tracking, reporting, and troubleshooting issues relative to missing or disputed payments

  • Act as an internal liaison and customer service resource for internal agents and external producers relative to enrollment and policy questions and commission processing

  • Perform daily management of incoming files from multiple sources ensuring alignment of accurate data across all systems, especially as they relate to producer commissions

  • Receive inbound communication from a multi-tenant client base with the ability to effectively and accurately research, define and resolve issues in a timely and efficient manner

  • Appropriately disposition cases having the expertise and understanding to clearly communicate dispositions and resolutions based on client and/or contracted services

  • Properly documenting reported issues, steps taken to resolve, and communicate downstream as appropriate

  • Research, analyze and identify root causes of complex issues

  • Aid in educating brokers and general agent partners on plan policies, benefit interpretation, and use of online self-service tools

Experience, Qualifications and Education:

  • Education: High School diploma of GED required. Associate’s degree preferred.

  • Experience: 5+ years of related work experience.

  • Knowledge of Medicare Advantage and Part D Prescription drug coverage

  • Consistently model the highest levels of service, support and professionalism

  • Knowledge of independent producers (brokers/agents) operational practices

  • Basic Desktop operation knowledge

  • Working knowledge of internet concepts and browser configurations (Internet Explorer)

  • Working knowledge of Microsoft Office Applications including Outlook and Word

  • Intermediate to Advanced knowledge of MS Excel

  • Ability to work independently to initiate and manage commission runs and processing

  • Ability to maintain a high degree of confidentiality

  • Previous experience with healthcare software applications preferred

  • Expert customer service skills: people oriented, even tempered, detail oriented

  • Exceptional oral and written communication skills required

  • Organized, highly ethical and concerned with quality output

  • Ability to function in a team environment

  • Good time management

  • Previous Finance/Accounting experience preferred

Lumeris is an EEO/AA employer M/F/V/D.

Location:

St. Louis, MO

Time Type:

Full time

Status:

XL - DI

Join Our Growing Team!

Lumeris serves as a long-term operating partner for organizations that are committed to the transition from volume- to value-based care and delivering extraordinary clinical and financial outcomes. Lumeris enables clients to profitably achieve greater results through proven playbooks based on collaboration, transparent data and innovative engagement methodologies. Lumeris offers comprehensive services for managing all types of populations, including launching new Medicare Advantage Health Plans, Commercial and Government Health Plan Optimization, and Multi-Payer, Multi-Population Health Services Organizations (PHSOs). Currently, Lumeris is engaged with health systems, provider alliances and payers representing tens of millions of lives moving to value-based care.

Over the past seven years, we have tripled in size to more than 800 employees and built the only solution on the market with our proven outcomes. For the past six years, Essence Healthcare, a long-standing Lumeris client, has received 4.5 Stars or higher from the Centers for Medicare and Medicaid Services (CMS). Essence Healthcare was Lumeris’ pioneer client and has been leveraging Lumeris for more than a decade to operate its Medicare Advantage plans, which serve more than 60,000 Medicare beneficiaries in various counties throughout Missouri and southern Illinois.

In 2018, Lumeris was named Best in KLAS for Value-Based Care Managed Services in the area of client-reported impact on the Triple Aim by KLAS Research. This was the third year in a row Lumeris received the award, and it has only been given for three years. As the industry’s most reliable and effective partner for developing population health management solutions, our success is driving tremendous growth in our company. Join us today in making a real difference in how healthcare is delivered!

Why Join Lumeris?

At Lumeris, you will be part of team that is focused on solving the nation’s healthcare problem, and you will be able to contribute to our purpose. Our environment is fast-paced, change-oriented and focused on growth and employee engagement. At Lumeris, we know that talent is best utilized when given the opportunity to succeed. That is why we have removed the boundaries that inhibit success and focus on fostering an environment that allows employees to utilize their talents.