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KPH Healthcare Services, Inc. Client Services Specialist in Gouverneur, New York

Overview

Scope of Responsibilities: Assist the day-to-day operations of Account Managers and Client Service Supervisor of ProAct, while focusing on providing top level service to ProAct clients. Works under direct supervision and follows standard procedures to accomplish assigned tasks.

Job Summary: Assist with the day-to-day operations of Account Management staff and Client Service Supervisor of ProAct. Coordinate and implement the setup and support of existing ProAct clients for all aspects of customer service, account management, and quality assurance.

Responsibilities

Job Duties:

  • Manage and execute benefit changes and updates for existing ProAct business in all appropriate systems.

  • Perform quality assurance audits on a regular basis to measure client satisfaction.

  • Provide Help Desk resolution of customer service issues, requiring additional support, to insure complete client satisfaction.

  • Provide Help Desk resolution of Pharmacy Network problems, requiring additional support, to insure complete client satisfaction.

  • Coordinate, maintain, and manage the distribution of monthly, quarterly, and annual management reports for PBM clients, from our Claims Processor.

  • Assist with the day-to-day operations of the ProAct Help Desk.

  • Interface with various external business partners as needed for program development and problem resolution.

  • Responsible for completing all mandatory and regulatory training programs

  • Perform other duties as assigned

Qualifications

Education:

  • Required: Minimum High School Diploma or GED

  • Preferred: AS Degree or Higher in Business Administration, Marketing or related field

Experience:

  • Preferred: 2 Years experience with Health Care, Insurance and /or Account Management

Special Conditions of Employment:

  • Criminal background check and/or drug test

  • Initial and continuous exclusion and sanction/disciplinary monitoring

Required Training:

  • HIPAA Privacy Course

  • HIPAA Security Course

Job Requirements:

  • Exceptional written and verbal communication skills

  • Strong PC skills including Microsoft Office

Behavioral Traits Required:

  • Cooperation: Must work harmoniously and effectively with fellow employees, supervisors and other in contact with.

  • Initiative: Must work within supervision guidelines and assume additional responsibilities

  • Flexibility: Must be willing to work variable work schedules, assist others as requested and available, and be willing to perform all assigned work

  • Adaptability: Must respond to new situations in a positive way, accept change, support new ideas, master new routines and grasp explanations, apply current knowledge in new environments and experiences

  • Involvement: Must enjoy the demands of the job and work with interest and enthusiasm

  • Customer Service: Must provide appropriate customer service (for Kinney customers, fellow employees and business partners), listen attentively to their needs and respond appropriately

  • Safety: Must take care of equipment and employ good safety habits

  • Leadership: Must gain acceptance of ideas and accomplish goals through subordinates, peers and teams

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Job Locations US-NY-Gouverneur

Posted Date 2 weeks ago (9/16/2020 10:09 AM)

Requisition ID 2020-5682

# of Openings 1

Category Customer Service/Support

Location : Location US-NY-Gouverneur

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