What are the responsibilities and job description for the L&H Benefits - Account Manager position at Stephens?
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Maintain consistent contact with all client Group Administrators to ensure that there aren’t any problems as well as convey a positive customer service message to the account. This can be done by phone for small groups and via quarterly site visits with large accounts.
- Handle all employer level billing problems on behalf of the Group Administrator with their respective carriers. Document all billing service issues in BenefitPoint.
- Handle all employee level claims issues on behalf of the employee with the respective carrier. Document all claims service issues in BenefitPoint.
- In order to remain in compliance with HIPAA regulations, maintain confidentiality on behalf of the employee while handling claims issues. Information relative to a specific employee’s claims should NOT be communicated to the Group Administrator or anyone at the employer level without the employee’s consent.
- Maintain current information relative to carrier’s respective networks as well as claim eligibility requirements relative to In Network/Out of Network specifics to administer claims issues.
- Present on quote activity in process staff meetings as needed.
- Prepare and present quarterly, semi-annual and/or annual utilization reports of large group client’s benefit plan performance and comparisons, with actionable analysis and recommendations.
- Meet weekly with Producers to update them on status of all accounts in the quoting process (can be done in weekly staff meeting).
- Meet weekly with Producers to update them on any service issues (billings, claims, etc.) that aren’t meeting quality or acceptability levels of clients (can be done in weekly staff meetings).
- Where required by Producer, conduct enrollment meetings with employees to collect required carrier information.
- Manage submission of employer applications to carriers as required.
- Manage employee applications to carriers, including confirmation that all information is complete and meets carrier’s standards (scrubbing).
- Maintain current knowledge of submission requirements of each individual carrier.
- Upon submission of application package to carriers, conduct follow-up to confirm final rates or missing information as needed to complete the submission.
- Where required by Producer, conduct benefits meetings with clients and employees (new or renewal) to present benefit summaries or changes to benefits.
- Whether renewing or enrolling with a new carrier, the Account Manager is responsible for updating the electronic version of the Group Summary as well as entering the data into BenefitPoint.
- Via reporting function in BenefitPoint, conduct weekly review of open service issues to ensure that all issues are handled in a timely fashion.
- Perform other tasks as assigned by management.
- Associate’s degree in a related field.
- 5 years of related experience and/or training.
- Equivalent combination of education and experience.
