Description:
The Account Management position is a full-time support role to our Account Management & Sales Team. This position will be the Customers' point of contact & liaison for activities related to servicing a growing list of customers and their groups. While working with a group of Sales Managers, the Account Management Specialist's responsibilities will ensure the efficient delivery of customer service and clear communication to both the customers and the entire Hines team.
This position may have a hybrid work-from-home opportunity 2 days per week, if employee successfully completes training period. Training period may last approximately 6 months.
Account Maintenace & managing customer experience (25%)
- Service legacy Clients of Opus MedStrategies for retention and growth.
- Ensure high level customer service to all clients on a daily basis by following up on claims status, providing information to clients from Managed Care and obtaining client information to GEM.
- Communication of ends results to client highlighting success and providing context behind the results.
Intermediary for Cost Containment Services (50%)
- Ensure efficient communication between Hines & GEM to identify, propose and secure opportunities for cost avoidance and cost containment on Client medical claims.
- Serve as main point of contact between Account Management, Care Management, National Accounts, and Sales for Cost Management services.
- Maintain and manage an inventory of medical cases that progress to a financial resolution for benefit of the Client, Plan and Member.
- Ensure business has all required information and Client/Group permissions to proceed as a billable event with realized results.
- Build and maintain a Cost Management Inventory Report – review as needed with team and reposit in public domain for internal use (i.e., Hines SharePoint)
- Produce timely results with pro-active communication to key stakeholders.
Business Intelligence and analytics (25%)
- Conduct periodic data analytics and reports for Clients who actively utilize Hines' cost management services to showcase risk and return.
- Provide information regarding sample stories for Marketing depict value of Hines Care, Cost and Risk Management which will be shared with Revenue Team, Clients and Prospects.
- Document step-by-step procedures, workflow processes as well as critical tools, drives, accounts, systems, etc. that facilitate management and outcome.
PM21
Requirements:
Education: HS Diploma, Associates preferred
Experience: At least 3 years administrative support role, high level of attention to detail and efficiency
Proficient in Microsoft Office
Compensation details: 19-21 Hourly Wage
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