Account Management

Description:

About Us

Hines is a nationwide, independent leader in personalized managed health care, focused on what's important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates, Inc.'s reputation as an industry leader is founded on over three decades of innovative and professional health care excellence. Serving all aspects of the industry, Hines is committed to conserving health care dollars while ensuring quality care through effective programs and personalized service.

Overview:

The Account Management position is a full-time support role to our Account Management & Sales Team. This position will be the Customers' point of contact & liaison for activities related to servicing a growing list of customers and their groups. While working with a group of Sales Managers, the Account Management Specialist's responsibilities will ensure the efficient delivery of customer service and clear communication to both the customers and the entire Hines team.

This position may have a hybrid work-from-home opportunity 2 days per week, if employee successfully completes training period. Training period may last approximately 6 months.

Account Maintenance & managing customer experience (25%)

• Service legacy Clients of Opus MedStrategies for retention and growth.
• Ensure high level customer service to all clients on a daily basis by following up on claims status, providing information to clients from Managed Care and obtaining client information to GEM.
• Communication of ends results to client highlighting success and providing context behind the results.

Intermediary for Cost Containment Services (50%)

• Ensure efficient communication between Hines & GEM to identify, propose and secure opportunities for cost avoidance and cost containment on Client medical claims.
• Serve as main point of contact between Account Management, Care Management, National Accounts, and Sales for Cost Management services.
• Maintain and manage an inventory of medical cases that progress to a financial resolution for benefit of the Client, Plan and Member.
• Ensure business has all required information and Client/Group permissions to proceed as a billable event with realized results.
• Build and maintain a Cost Management Inventory Report – review as needed with team and reposit in public domain for internal use (i.e., Hines SharePoint)
• Produce timely results with pro-active communication to key stakeholders.

Business Intelligence and analytics (25%)

• Conduct periodic data analytics and reports for Clients who actively utilize Hines' cost management services to showcase risk and return.
• Provide information regarding sample stories for Marketing depict value of Hines Care, Cost and Risk Management which will be shared with Revenue Team, Clients and Prospects.
• Document step-by-step procedures, workflow processes as well as critical tools, drives, accounts, systems, etc. that facilitate management and outcome.

PM21

Requirements:

Education

HS Diploma, Associates preferred

Experience

At least 3 years administrative support role, high level of attention to detail and efficiency

Proficient in Microsoft Office

Hines welcomes diversity and as an equal opportunity employer all qualified applicants will be considered regardless of race, religion, color, national origin, sex, age, sexual orientation, gender identity, disability or protected veteran status.

Compensation details: 19-21 Hourly Wage

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