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Job Summary:

Responsible for providing support and expertise at on-site Client business/facility. Will be single point of service (e.g., calls and claims) to on-site client and their plan membership; as well as; serve as liaison for client relations for 90 Degree Benefits. Provide service for complex client accounts with timely and effective response;

Essential Functions:

· Keeps the AE Team appraised of service related trends and issues regarding on-site client and any additional clients assigned. Handles issue escalations and provides overall support (face to face or via, phone, email, fax, etc.) to key on-site client and client plan membership to ensure all needs are met and issues are resolved.

· Handles day to day questions/calls from Plan members of on-site client

· Elevates Plan discrepancies and/ or Client issues immediately to the appropriate department and the Account Executive.

· Tracks and trends payment issues to review with Management and the Account Executive.

· Prepare correspondence and reports in a clear and concise manner.

· Multi-tasks and meets deadlines while maintaining a high level of accuracy, quality and overall service delivery.

· Responds to client issues and investigates to resolves errors.

· Processes claim corrections on escalated issues which may include overpayments, refunds, stop payments, adjustments, and check tracers in a timely manner.

· Coordinates complaint resolution concerning eligibility/ billing or services rendered with appropriate department(s).

· Coordinating responses on premium/eligibility issues,

· Running reports on an as needed basis.

· Attends and participates in Team and Departmental meetings.

· Attends and supports Account Management in Open Enrollment Meetings or on Client Service visits as needed.

· Abides and supports all corporate policies and procedures.

· Perform other work duties / responsibilities as assigned.

Qualifications and Educational Requirements:

• High School diploma.
• Minimum of 5 years of customer service experience/ claims processing experience in a healthcare setting, including Third Party Administrators, PPO/Fee for Service, HMO, Hospital Administration, Fully Insured Carrier.
• Excellent verbal and written communication skills.
• Knowledge of MS Office products and software applications such as MS Excel, Word, Power Point and Outlook.
• Highly organized and detail oriented.
• Ability to work collaboratively within a team environment as well as individually.
• Ability to manage several projects at once with excellent quality.
• Strong analytical and problem-solving skills.
• Able to work and adjust priorities in a fast-paced environment.

Physical Requirements:

While performing this job, the employee is frequently required to sit, talk, and hear. The employee may occasionally lift and/ or move up to 30 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

The work is primarily in an office setting. The noise level in the work environment is moderate.

The duties listed above are intended only as an illustration of duties, and not an all-inclusive list. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or logical to the position.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Denton, TX 76201: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Medical claim processing: 5 years (Required)
• Customer service in a healthcare setting: 5 years (Required)

Work Location: One location