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Account Service Consultant

Aditi Consulting

Rochester, NY

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JOB DETAILS
SALARY
$24–$26 Per Hour
SKILLS
Artificial Intelligence (AI), Automotive Automation, Billing, Brokerage, Business Strategy, Computer Skills, Consulting, Corporate Policies, Customer Retention/Renewal, Customer Support/Service, Customer/Client Research, Establish Priorities, Federal Laws and Regulations, Finance, Healthcare, High School Diploma, Identify Issues, Medical Affairs, Medicare, Messaging Technology, Multitasking, National Committee for Quality Assurance (NCQA), Organizational Skills, Presentation/Verbal Skills, Problem Solving Skills, Product Documentation, Project/Program Management, Purchasing/Procurement, Sales, Sales Force Automation, Short Messaging Service (SMS), Speech Technology, Spreadsheets, State Laws and Regulations, Telephony, Time Management, Underwriting, Vendor/Supplier Relations, Word Processing, Writing Skills
LOCATION
Rochester, NY
POSTED
3 days ago
Payrate: $24.00- $26.00/hr.
 
Summary:
The Account Service Consultant ensures prompt, accurate, and efficient servicing of all Broker, Member, and Employer Group Administrator inquiries. Inquiries may be via telephone, email, written inquiries, and lobby walk-in’s or through on-site visits with an employer group and/or broker. This role provides service for customers and business partners while responding in a professional, efficient, and timely manner to resolve issues and enhance Group & Broker satisfaction/retention. The Account Service Consultant maintains constant communication with the Sales staff and other Business Partners throughout the organization.
 
Responsibilities:
  • Responsible for the implementation of new groups, renewals, and conversion of groups to new product lines.
  • Research, interprets, and responds to inquiries from internal and external customers, business partners, brokers, consultants, and groups concerning our products, services, and policies in accordance with MTM, Corporate Service strategy, NCQA, and legislative requirements.
  • Identifies and responds to issues brought forward either internally or externally and ensures all inquiries will be responded to within 24-48 hours – same business day preferred where possible. Interacts with Operations, Enrollment and Billing, Customer Care, Claims, Advocacy, Clinical Operations, Medical Affairs and Finance/Underwriting Departments to resolve identified issues.
  • Assures that all account data is maintained on a timely and accurate basis such as initial account setup, benefit books, summaries, contracts, etc.
  • Partners with Project Management team to support vendor relationships and conversations related to electronic enrollment methods for assigned book of business.
  • Utilizes both standard and custom products in a manual workflow to meet the needs of external clients.
  • Validates all group set up and renewal completions.
  • Completes and successfully passes training(s) to support job role/function.
  • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs.
  • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
  • Regular and reliable attendance is expected and required.
  • Demonstrates willingness to adapt and be flexible to changes and business needs while taking
  • ownership and accountability for issue identification and resolution.
 
Minimum Qualifications:
  • High School diploma or equivalent required. Associate’s degree in related field preferred. In lieu of degree, 2 years of experience in service or healthcare industries.
  • Valid NYS Life, Accident and Health license within six months of employment required.
  • Familiarity with NYS and Federal regulations and underwriting policies a plus.
  • Strong oral/written communication and customer service skills.
  • Strong organizational skills and ability to prioritize, multitask, and work in fast paced environment
  • and remain professional and focused under multiple pressures and demands.
  • Ability to complete required internal Medicare Training per Center for Medicare Services within one year of start date.
  • PC skills are essential: spreadsheet and word processing applications, database functions and sales force automation software applications.
 
Pay Transparency: The typical base pay for this role across the U.S. is: $24.00 - $26.00 /hour. Non-exempt positions are eligible for overtime at a rate of 1.5 times the base hourly rate for all hours worked in excess of 40 in a work week, or as required by state or local law. Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education and experience. Full-time employees are eligible to select from different benefits packages. Packages may include medical, dental, and vision benefits, health savings accounts with qualified medical plan enrollment, 10 paid days off, 3 days paid bereavement leave, 401(k) plan participation with employer match,  life and disability insurance, commuter benefits, dependent care flexible spending account, accident insurance, critical illness insurance, hospital indemnity insurance, accommodations and reimbursement for work travel, and discretionary performance or recognition bonus. Sick leave and mobile phone reimbursement provided based on state or local law. 
 
Consent to Communication and Use of AI Technology: By submitting your application for this position and providing your email address(es) and/or phone number(s), you consent to receive text (SMS), email, and/or voice communication whether automated (including auto telephone dialing systems or automatic text messaging systems), pre-recorded, AI-assisted, or individually initiated from Aditi Consulting, our agents, representatives, or affiliates at the phone number and/or email address you have provided. These communications may include information about potential opportunities and information. Message and data rates may apply. Message frequency may vary.
You represent and warrant that the email address(es) and/or telephone number(s) you provided to us belong to you and that you are permitted to receive calls, text (SMS) messages, and/or emails at these contacts. You also acknowledge and agree to Aditi Consulting LLC’s use of AI technology during the sourcing process, including calls from an AI Voice Recruiter. AI is used solely to gather data and does not replace human-based decision-making in employment decisions. Calls may be recorded.
 
Consent is not a condition of purchasing any property, goods, or services. You may revoke your consent at any time by replying “STOP” to messages or by contacting

privacy@aditiconsulting.com

.
For information about our collection, use, and disclosure of applicant's personal information as well as applicants' rights over their personal information, please see our Privacy Policy .
 
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Aditi Consulting