Implementation Specialist – Estimation

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How this Role Makes an Impact  

The Imagine team is a growing company, and we are inviting a motivated Implementation Specialist – Estimation to join our talented team! This Implementation Specialist will engage with both clients and internal teams to deliver outstanding implementations. This role is ideal for a candidate who is detail-oriented, highly motivated and who can quickly and efficiently solve client-related issues.  

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If you are looking for a place that offers a challenging and fast-paced environment with the opportunity to grow and develop, look no further! We are always looking for quality people to join our growing team. Must-haves include the ability to adapt to an ever-changing environment, work quickly and efficiently, continuously challenge the status quo, and be an innovative and solutions-based thinker.

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Essential Duties  

• Conducts eligibility and estimation implementations to ensure on time delivery and excellent customer service  
• Analyze, format and load client billed and allowed amounts  
• Analyze and crosswalk client payer and plan lists  
• Engage client/vendors to identify any missing/incomplete information  
• Ensure outstanding implementations according to project timelines  
• Interpret eligibility responses, messages and payer plan information to write rules to assist with estimation accuracy  
• Actively monitor external testing done by clients and meet with clients weekly to review testing results  
• Manage client expectations throughout the implementation process  
• Responsible for scope management, change management, estimating impacts of scope change  
• Serve as the liaison between clients and non-technical users to deliver technical specifications to development teams in order to ensure product requirements are delivered correctly  
• Work in an online ticket queue during the implementation process to monitor and resolve client issues and questions.  
• Conduct ongoing QA tasks to ensure existing and new products are working properly and ready for implementation, migration, etc.  
• Communicate clearly and effectively with clients, internal staff, and management to resolve issues and ensure customer satisfaction.  
• Educate and train clients on how to effectively utilize products and services to achieve their goals.  
• Properly escalate unresolved issues/requests to appropriate internal teams and ensure items are handled in a timely fashion.  
• Research and diagnose clients’ system issues during the implementation to identify and execute solutions for requests.  
• Resolves client issues and provides support for eligibility and estimation  
• Serves as back up for production support when needed  
• Participates in and manages special projects with an emphasis on reporting.  
• Conducts regular client utilization reporting to understand product usage and client satisfaction.  
• Other duties as assigned.

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Education and/or Experience Needed  

• 4-year degree preferred or 3+ years in healthcare

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Qualifications You Must Have  

Required:  

• Intermediate level knowledge of medical billing, insurance payers, and plans.  
• Proven ability to build and maintain relationships with clients.  
• Highly motivated, goal & detail oriented, and persistent personality.  
• Ability to understand and efficiently execute system-related solutions.  
• Ability to quickly learn technical material and apply new processes and technologies.  
• Ability to handle stressful situations and deadline pressures well.   
• Intermediate-to-Mastery level knowledge of basic Microsoft Office applications.   
• Flexibility to work with internal groups and external users.   
• High level of enthusiasm and initiative.  
• Ability to work well in a team environment.  
• Ability to work independently to meet deadlines and manage multiple projects.  
• Excellent written and oral communication skills.

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Preferred:  

• Knowledge of EDI Transactions.   
• Familiarity with healthcare terminology and workflow.  
• Knowledge of eligibility and estimation workflow.  
• Knowledge of Healthcare Revenue Cycle Management process.

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Employment Type  

• Full-Time, Exempt

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Reporting Structure  

• Director of EDI Solutions

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Work Environment  

Working conditions are normal for an office environment. Work may require occasional weekend and/or evening work and overnight travel up to 5%.

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At ImagineSoftware, we have a role to play in contributing to an inclusive world. We work every day to lead with our values and beliefs that enable you to develop your potential and bring your full self to the workplace. Our culture of diversity and inclusion enables more creative thinking and better ideas for addressing a more diverse market. We hire driven people from all backgrounds because it makes us a great company, and because it’s the right thing to do. If you share these values, you will find a home at ImagineSoftware.