Client Support Specialist - Plan Benefit
Client Support Specialist - Plan Benefit
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Duties include but are not limited to:
- Provide backend support of plan design and benefit configuration to the Client Services team.
- Develop and maintain a working knowledge of clients objectives plan designs and clients overall needs.
- Responsible for understanding the clients organization & structure product/services and staying aware of any changes.
- Ability to logically evaluate claims for proper payment and make sure the desired benefits goals are met.
- Assist in benefit setups and changes while providing solutions to complex client requests.
- Conduct regular service/relationship communications with clients.
- Identifying researching resolving and providing prompt follow up to all client issues.
- To provide consulting and ongoing training and education to assigned accounts as needed.
- Collaborate with cross-functional teams to represent client(s) internally and coordinate functions such as problem resolution system implementations project completion and/or to address ongoing pharmacy service needs.
- Utilizes various data and analytics tools to prepare reports written communication and/or presentations as needed.
- Work with the Implementation team to provide a smooth transition to ongoing Client Services following Go Live and with new plan changes and setup.
- Understand and support all internal workflow while providing ideas and suggestions for improved processes.
- Maintain ProCareRx systems to ensure documentation of client communications and client information is updated and accurate.
- Communicate regularly and as required with Client Services leaders to provide necessary timely feedback and assessment of client relationships active projects and/or any relevant information/activities on client accounts.
- Contribute to a team effort by performing other duties as may be assigned
Job Requirements:
- Associates Degree in Business or Healthcare field preferred; or any combination of education and experience which would provide an equivalent background managing business operations and/or customer relationships ideally in Healthcare Operations.
- Pharmacy Tech or PBM experience a plus.
- Proficient in Microsoft Office and other exposure to industry-related applications and software.
- Prior employment in a position requiring use of analytical problem solving and critical thinking skills.
- Self-motivated with the ability to work both independently as well as cohesively within a team setting with limited supervision in a fast-paced environment with timely turnarounds
- Exceptional organizational and time management skills
- Exceptional verbal and written communication skills to effectively communicate with peers colleagues and all levels of management
Physical Demands:
Requires sitting standing and occasional light lifting.
I confirm that I meet or exceed the educational and experience requirements set forth herein.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
