What are the responsibilities and job description for the Client Support Specialist position at Burgess Information Systems?
SUMMARY: The Client Services Plan Benefit Specialist will assist the Client Services team with a focus on benefit maintenance and claims research. This position will be responsible for coordinating requested benefit design changes/updates and departmental claim and plan escalation requests. Assist with coordinating new group implementations and benefit plan changes. The Client Services Plan Benefit Specialist will work collaboratively with other central departments and stakeholders to solve complex problems, ensure all client deliverables are timely and accurate, and client needs are being met, to maintain client retention, renewal, and overall plan satisfaction.
RECENT GRADS STRONGLY ENCOURAGED TO APPLY!
Duties include but are not limited to:
- Provide backend support of plan design and benefit configuration to the Client Services team.
- Develop and maintain a working knowledge of client's objectives, plan designs, and clients' overall needs.
- Responsible for understanding the client's organization & structure, product/services, and staying aware of any changes.
- Ability to logically evaluate claims for proper payment and make sure the desired benefits goals are met.
- Assist in benefit setups and changes, while providing solutions to complex client requests.
- Conduct regular service/relationship communications with clients.
- Identifying, researching, resolving, and providing prompt follow up to all client issues.
- To provide consulting and ongoing training and education to assigned accounts as needed.
- Collaborate with cross-functional teams to represent client(s) internally and coordinate functions such as problem resolution, system implementations, project completion and/or to address ongoing pharmacy service needs.
- Utilizes various data and analytics tools to prepare reports, written communication, and/or presentations as needed.
- Work with the Implementation team to provide a smooth transition to ongoing Client Services following Go Live and with new plan changes and setup.
- Understand and support all internal workflow, while providing ideas and suggestions for improved processes.
- Maintain ProCareRx systems to ensure documentation of client communications and client information is updated and accurate.
- Communicate regularly and as required with Client Services leaders, to provide necessary, timely feedback and assessment of client relationships, active projects, and/or any relevant information/activities on client accounts.
- Contribute to a team effort by performing other duties as may be assigned
Job Requirements:
- Associates Degree in Business or Healthcare field preferred; or any combination of education and experience which would provide an equivalent background, managing business operations and/or customer relationships, ideally in Healthcare Operations.
- Pharmacy Tech or PBM experience a plus.
- Proficient in Microsoft Office and other exposure to industry-related applications and software.
- Prior employment in a position requiring use of analytical, problem solving, and critical thinking skills.
- Self-motivated, with the ability to work both independently, as well as cohesively within a team setting, with limited supervision in a fast-paced environment with timely turnarounds
- Exceptional organizational and time management skills
- Exceptional verbal and written communication skills to effectively communicate with peers, colleagues, and all levels of management
Physical Demands:
Requires sitting, standing, and occasional light lifting
ProCare Rx will never ask for a financial commitment from an applicant as part of our recruitment process. All interviews are conducted in-person OR through video conference invitations from official company emails. For inquiries, please contact our official recruitment team at (678) 248-4755 or email us at HR@procarerx.com.
ProCare Rx is an Equal Opportunity Employer.
