Account Specialist I

Capital Blue Cross•Harrisburg, PA

5d•Onsite

About The Position

The Group Account Specialist is responsible for the set up and maintenance of the large and small groups in Facets. This includes the entry of group and member enrollment, changes and terminations which directly impacts ID cards, claims processing, customer service, members and MTM ratings. Additionally, this position is responsible for group financial analysis. The Group Account Specialist works closely with internal and external customers through telephone and written contact. The incumbent works independently and as a team player representing the unit. The incumbent will be required to attend a 6 - 8 week training class as well as ongoing periodic refresher training.

Requirements

Ability to perform duties with minimal supervision. Includes the ability to act both independently and as part of a team while adapting to changing priorities.
Ability to communicate effectively and professionally, both verbally and in writing with various audiences.
Ability to plan, organize and coordinate multiple tasks and priorities.
Proficient typing skills in order to maintain productivity levels.
Knowledge of government regulations, Account Administration and various department policies and procedures as they relate to large and small group business (i.e., MSP regulations, COBRA, overage policies of groups, ID cards, HIPAA/conversion information, etc.).
Proficiency in the use of PC software and end user computing tools (Outlook, Word, Internet Explorer, Excel and Power Point).
Familiarity with work desk (Image) and workflow.
Ability to analyze data and reconcile group and member invoices.
A minimum of 1 year experience working in a data entry environment, preferably enrollment and billing.

Nice To Haves

Experience with customer interaction preferred but not required.

Responsibilities

Responsible for accurately entering all group and member enrollment activity into Facets and/or eGEMS according to all policies and procedures within the specified time frame. This includes group and member new enrollments, terminations, product changes, etc.
Responds to phone and written inquiries received from Internal and External Customers.
Accountable for making adjustments and corrections to group information as necessary.
Educates customers on various policies and procedures related to group and member enrollment.
Reviews, researches and corrects enrollment for various error reports (i.e., Group Billing Error Report, MSP Reports, etc.).
Responsible for analyzing group payments received on Facets. These payments are reconciled according to all policies and procedures within the specified time frame. This includes verifying invoices, transferring/refunding money, and documenting information to ensure the correct amount was paid.