Account Service Representative-Rochester, NY ,14604-95% remote

Company: Analysts
Location: Rochester
Posted on: March 20, 2023

Job Description:

Hi,Hope you are doing good.My name is Namrata, a resource of Innova Solutions. If you are looking for new opportunity, please go through the below job description and if you find it suitable for you, you can reply over this email with your updated resume, the best time and number to reach you to discuss this opportunity or you can reach me at 630-361-0063.Here is the job requirement for your kind consideration:Job Details:Job Title: Account Service Representative - Strategic/National Accounts I/II/IIILocation: Rochester NY 14604 - 95% remote role (once or twice in a month onsite availability is required for meetings)Duration: 3 months contract (potential to become permanent role.)Hours Per Week: 40.00 Description of Work:Description:Summary:The Account Service Consultant ensures prompt, accurate, and efficient servicing of all Broker, Member, and Employer Group Administrator inquiries. Inquiries may be via telephone, email, written inquiries, and lobby walk-in's or through on-site visits with an employer group and/or broker. This role provides service for customers and business partners while responding in a professional, efficient, and timely manner to resolve issues and enhance Group & Broker satisfaction/retention. The Account Service Consultant maintains constant communication with the Sales staff and other Business Partners throughout the organization.Essential Responsibilities/Accountabilities:Level II (in addition to Level I responsibilities):

• Assists with on-the-job training of other Account Service and Sales Account Managers as requested. Support Level I team members with more complex issues.
• Ongoing participation in meetings, training, and skill development to support career path and individual development plans.
• Identifies issues, patterns and/or trends generated by external and internal action affecting customer satisfaction and consistently and independently recommends and initiates changes and improvement for process review.
• Attends meetings and/or trainings as a representative of the Account Service Team and shares the information learned with the Account Service Staff within a reasonable timeframe
• Handles HIPAA (Health Information Portability and Accountability Act) issues as requested by members through Group Administrators. Specifically, handles all Designated Record Set (DRS) requests and may serve as a point person for the Account Service team when difficulties arise in obtaining information through normal channels.Level III (in addition to Level II responsibilities/accountabilities):
  • Assists with tasks assigned by management that require advanced problem-solving skills.
  • Partners with Sales to create and deliver presentations to external customers.
  • Mentors and trains more junior Account Service team members to initiate resolution to all outstanding and/or difficult issues.
  • Acts as a back up to Account Manager when individual is out of the office.Minimum Qualifications:NOTE:We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities.All Levels:
    • High School diploma or equivalent required. Associates Degree in related field preferred. In lieu of degree, 2 years of experience in service or healthcare industries.
    • Familiarity with NYS and Federal regulations and underwriting policies and all process flows.
    • Strong oral/written communication and customer service skills.
    • Strong organizational skills and ability to prioritize, multitask, and work in fast paced environmentand remain professional and focused under multiple pressures and demands.
      • Ability to complete required internal Medicare Training per Center for Medicare Services within one year of start date.
      • PC skills essential: spreadsheet and word processing applications, database functions and sales force automation software applications.Physical Requirements:
        • Ability to travel within the Health Plan service region as necessary to offer support for on-site visits to groups/brokers, open enrollments, training, and/or off-site meetings.
        • Ability to work while sitting and/or standing at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time.

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