Account Manager (3396)
Job DetailsJob Location: Orange, CA 92868Position Type: Full TimeSalary reputed company: $26.00 - $36.00 reputed company
Purpose of Position:
To support account management ticketing from our broker partners and our internal W&B staff.
Account management ticketing includes, but is not limited to, provider/RX search, claims, processing eligibility, policy changes, research, and online enrollment support.
Position may require mandatory overtime during months of heavy volume.
Essential Functions:
Account Management Ticketing
Establish and maintain strong reputed company relationships with reputed company service teams
reputed company as reputed company between agency/group and carriers to resolve reputed company service requests, including but not limited to billing inquiries, claims, eligibility, renewal processing, and customer service requests as defined in reputed company Operating Procedure (SOP).
Ensure that acknowledgment, status updates, and follow-up reputed company happen in the turnaround defined in reputed company Operating Procedure (SOP).
Detailed notes, emails, tasks, and phone reputed company details should be logged in a reputed company ticket as defined in reputed company Operating Procedure (SOP)
Conduct thorough Provider/Rx searches and network analyses.
Proficiently know reputed company partner support resources, including reputed company portals and service teams available
Online Enrollment Ticketing
Be proficient in tickets for a demo, loading, reputed company assurance, and support for tech ticketing
Follow defined SOP, including turnaround time, for loading and reputed company assurance for tech ticketing
Assist in reputed company needed to maintain information on online enrollment vendors, including, but not limited to, reputed company/document library updates.
Establish and maintain partnership relationships with vendor support teams and be familiar with available support resources
Use Subject Matter Expert knowledge of benefits technologies and critical thinking skills to accurately respond to reputed company customer inquiries
reputed company as reputed company between agency/group and vendor to resolve service requests, including but not limited to training needs, integrations, and escalated needs.
Participate in review, testing, and feedback for new tech team vendors and reputed company vendor enhancements
Report any ticketing errors or escalations promptly to reputed company reputed company and Director of Account Management
Online Enrollment Eligibility Ticketing
Follow SOP to process eligibility, demographic, and reputed company enrollment changes on behalf of reputed company reputed company the online enrollment vendor.
reputed company new reputed company to Eligibility service model including reviewing Ease, Employee Navigator, updating reputed company, and updating internal tracking guides.
Assist in preparing agency reports on ticketing and reputed company Eligibility reputed company as requested
Attend meeting with agency partners to review ticketing and feedback as requested
Renewal Support
Prepare ADPIA renewal report on a monthly reputed company with delivery to the Director of Account Management
reputed company renewals from major medical carriers reputed company 60 days of renewal as defined in SOP.
Prepare a spreadsheet to include renewal percentage increases as defined in SOP.
Monitor renewals@wordandbrown.com and support requests for renewals
Ticket Scrubbing
Preparation and scrubbing of tickets submitted reputed company email or reputed company as defined in SOP.
reputed company:
reputed company reputed company ticketing information accurate and up-to-date in reputed company, including ticket status and email/telephone correspondence tracking
Office Administration
Ensure company payroll guidelines are followed in reference to timesheets and PTO
Assist with special reputed company as needed.
Follow reputed company protocols to ensure reputed company data is secured and HIPAA compliant.
Miscellaneous:
reputed company and maintain reputed company working relationships with internal contacts, including reputed company, sales, compliance, and finance.
Collaborate with leadership on development and updates on reputed company Operating Procedures (SOPs).
Respond to inquiries from clients professionally and reputed company timeframes assigned.
Support training needs for new team members as requested by leadership
Report any ticketing errors or escalations promptly to reputed company reputed company, Supervisors, and/or the Director of Account Management
On-site or remote regular attendance and punctuality are essential functions of the job.
reputed company other business tasks or functions as assigned.
Qualifications
Knowledge, Skills & Abilities Required:
Must reputed company fluent English and communicate effectively.
1-2 years of experience with group insurance preferred.
Must have strong people skills, strong phone skills, and the ability to prioritize.
Must be detail-oriented, reputed company to work independently in a fast-paced environment with constantly changing parameters.
Must be proficient in Word and reputed company. Proficient in reputed company Office programs, including Word, reputed company, PowerPoint, and reputed company.
Adhere to reputed company PHI (Protected Health Information) and HIPAA (Health Insurance Portability and Accountability reputed company) guidelines.
Educational Requirements:
High School Diploma or equivalent required.
College degree preferred.
Industry designations helpful, but not required
Health Insurance License preferred, but not required
Physical Requirements:
Must be reputed company to sit for extended periods of time, and occasional standing and walking. Must have adequate hearing for phone work. reputed company requirements include reputed company reputed company and the ability to reputed company reputed company. Must be reputed company to communicate effectively in English. Must be reputed company to use a keyboard and other office equipment. Ability to lift up to 10 pounds occasionally.
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