Account Spec

Company :Highmark Inc.Job Description :Duties Note: The following is not intended to be an exhaustive list of all duties required of this position.ADAE1. Processes eligibility transactions on a daily basis, to maintain accurate membership data: Reviews subscriber enrollment documents Obtains missing information; confirms data is appropriate Researches eligibility questions and determines outcome based on the established guidelines in various tools and Desk Levels Updates eligibility data in the system Notifies appropriate internal or external customers by written correspondence or verbal communicationE2. Responds to and resolves subscriber, employer group and internal inquiries: Researches eligibility issues and determines resolution from available on-line tools, resources and guidelines Documents resolution and actions takenE3. Reconciles premium payments for subscribers and groups: Works with assigned subscribers and groups to ensure billing specifications are met Assists in identification and resolution of delinquent accounts Corresponds with employer groups and external customers through written or verbal communication as defined within the job responsibilities; this may include on-site visits with prior management approval Researches discrepancies, takes appropriate action and notifies clientE4. Performs all job duties efficiently, accurately and at an acceptable rate of performanceE5. Maintains confidentiality and adheres to HIPAA regulationsE6. Delivers customer service in a professional, polite and efficient mannerN7. Performs other duties of a similar nature that are necessary and not inconsistent with this position or pay gradeEducation/Experience/Skills RequirementsRequired Education:Required Experience:HS/GED:1 year previous related experiencePreferred Education:Preferred Experience:HS/GED:One(1)year related experienceRequired Knowledge/Skills:1. Must meet qualifications to perform the job including satisfactory completion of all training and testing2. Typing Skills : 30 WPM3. Microsoft Excel test4. Job Content test - successful completion5. Ability to multitask in fast paced environment6. Well organized with ability to adapt to changing business environment; exhibits attention to details and time management skills7. Proficiency in English language skills, including spelling, punctuation and grammar, in both written and verbal communication8. Ability to effectively communicate with internal and external contacts in a professional manner9. Working knowledge of personal computer and application software such as Microsoft Office10. Ability to utilize basic office equipment including PC, scanner, telephone, copier, printer, fax, calculator11. Computer Software typically used: Facets, Excel, Content Manager, AccessRequired Licenses/Certifications:Problem SolvingIdentifies eligibility or billing issues and uses available resources to determine appropriate actions.Managerial/Supervisory ResponsibilitiesDoes this Position have Supervisory Responsibility? NoNumber of Emps Supervised:Titles of Employees Supervised:Financial/Budgetary Responsibilities:Other Job Specifications:External Contacts: Subscribers, Employer Groups (some travel as requested)Working Conditions/Physical Demands:Position requires: Must be able to work in an office environment Travel to employer group locations, as required.Position involves: Physical Effort: Minimum; typical of most office work. Mostly sedentary work. Weight: lift/carry/push/pull under 10 lbs. Prolonged Standing Walking Repetitive Motion Reaching Bending Manual Dexterity Req: Eye-hand coordination and manual dexterity sufficient to effectively utilize various office equipment (phone, computer, fax machine, printer, copier, filing cabinet, etc) Manual Dexterity Req: Eye-hand coordination and manual dexterity sufficient to effectively use a computer with all its components for prolonged periods of time and for the majority of required tasks Vision Req: Close vision (clear vision at 20 inches or less) Vision Req: Distance (clear vision at 20 feet or more)Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.EEO is The LawEqual Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.For accommodation requests, please contact HR Services Online at Consumer Privacy Act Employees, Contractors, and Applicants Notice

Created: 2024-10-19