RCM&D - Client Care Specialist, Employee Benefits
RCM&D - Client Care Specialist, Employee Benefits
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
JOB SUMMARY:
The role of the Client Care Specialist (CCS) is to address all employer health benefit issues as brought up by employee Benefits (EB) clients including resolving enrollment and termination issues claims and appeals acting as liaison with our insurance advocacy partners at Alight (Health Pros) insurance carriers and third party administrators works with insurance carriers and TPAs to resolve billing inquiries reading and interpreting insurance contract language and regulations. CCS regularly practices discretionary decision making on a daily basis.
KEY RESPONSIBILITIES:
Essential Duties & Responsibilities:
Works directly with clients to answer questions and resolve their issues and loads activities into CRM Database (Epic)
o Resolves enrollment and termination issues.
o Answers questions relating to legislation and benefit laws regarding HIPAA COBRA and FMLA.
Updates internal systems such as Epic upon group renewal
Introduces their role to all new key contacts to build solid relationships and meets existing contacts as needed to further enhance relationship.
Maintains a full book of business while continuing to provide A service.
Utilizes MS Outlook Excel Word and other Microsoft Applications
Follows EBS internal color-coded outlook organization standard operating procedures.
Follows internal call back standard operating procedures and email response time
TALENTS/STRENGTHS REQUIRED
Self-starter and quick learner
Excellent problem-solving skills. Persistent to achieve the end resultresolution.
Strong organizational skills including daily prioritizing and logical thinking.
Service-oriented; kind compassionate and willing to work hard on another persons behalf.
Good communication skills written verbally and over the phone. Clarity and accuracy are key attributes.
Excellent phone skills responsiveness empathetic and honesty with the information to be shared.
Strong working knowledge of computers (MS Word MS Outlook preferred; Internet MS Excel and database experience are also beneficial) and able to learn new systems and programs such as Sales Force.
Able to manage multiple projects simultaneously and successfully.
Able to work with others in teams; able to work with those who perform similar jobs as well as complimentary roles. Promotes cooperation and share successes throughout the company.
Shares ideas for improvement which are oriented around solutions and blameless problem solving.
CONTINUING EDUCATION
As a condition of employment the Enrollment Specialist must:
Pass the Maryland State Life & Health exam within the first 90 days of employment.
Fulfill Maryland State Continuing Education (CE) requirements annually.
Participate in internal training sessions and other professional development opportunities as needed.
KNOWLEDGE/EXPERIENCE REQUIRED
Insurance experience preferred; at least 3 years of work experience (claims resolution benefits administration health insurance customer service etc.).
College degree preferred
Knowledge of Microsoft Office with an emphasis on Outlook and Excel
PHYSICAL REQUIREMENTS/MISCELLANEOUS
Valid Drivers License.
There are no physical requirements for the position.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
