This position reports to the SCHIP Compliance Director and would be a key position on the SCHIP Compliance Team. The account manager attends new client implementation meetings, assist clients/carriers with registration with The Center for Medicaid/Medicare Services "CMS" and tracks their registration to ensure it remains active. Creates client program rules for reporting in a proprietary application. Has interaction with clients, carriers, adjusters, external vendors and CMS.
Completion of a college or university degree in business, business administration, insurance or related field or 3-4 years experience in insurance, within a business analyst capacity, and/or claim systems or the equivalent in related work experience.
Demonstrates a sound knowledge of basic business principles.
Demonstrates the ability to plan projects and complete assignments timely and accurately.
Understands the impact of decisions, actions, and technology on Broadspire's and customers business systems.
Excellent understanding of process and systems flow.
Displays excellent interpersonal skills.
Displays excellent presentation and training skills.
Displays ownership in business relationships and assignments.
Ability to clearly present information through the spoken or written word; reads and interprets complex information; talk with customers or clients; listens well.
Ability to stay well informed of current industry trends; learn and apply new concepts and identifies own areas of opportunity and sets and monitors self development goals.
Ability to demonstrate a high level of service delivery; do what is necessary to ensure customer satisfaction; deals with service failures and prioritizes customer needs.
Ability to challenge conventional practices; adapt established methods for new uses; pursues ongoing system improvement; develops new ideas to create novel solutions to problems; evaluates new technology as potential solutions to existing problems.
Demonstrates or models behavior that rallies others around a common cause and builds a shared sense of purpose.
Ability to develop rapport with others and recognize their concerns and feelings; builds and maintains long-term associations based on trust; helps others.
Physical Requirements:
Demonstrates a sound knowledge of basic business principles.
Demonstrates the ability to plan projects and complete assignments timely and accurately.
Understands the impact of decisions, actions, and technology on Broadspire's and customers business systems.
Excellent understanding of process and systems flow.
Displays excellent interpersonal skills.
Displays excellent presentation and training skills.
Displays ownership in business relationships and assignments.
Ability to clearly present information through the spoken or written word; reads and interprets complex information; talk with customers or clients; listens well.
Ability to stay well informed of current industry trends; learn and apply new concepts and identifies own areas of opportunity and sets and monitors self development goals.
Ability to demonstrate a high level of service delivery; do what is necessary to ensure customer satisfaction; deals with service failures and prioritizes customer needs.
Ability to challenge conventional practices; adapt established methods for new uses; pursues ongoing system improvement; develops new ideas to create novel solutions to problems; evaluates new technology as potential solutions to existing problems.
Demonstrates or models behavior that rallies others around a common cause and builds a shared sense of purpose.
Ability to develop rapport with others and recognize their concerns and feelings; builds and maintains long-term associations based on trust; helps others.
Meet with Crawford and Broadspire clients for new accounts or accounts that are leaving with regard to the CMS (Medicare) RRE ID - Responsible Reporting Entity to be sure the clients' are successfully registered for reporting with Medicare.
Attend implementation meetings with Clients Services and the Implementation Team
Managed over 400 RRE ID's and ensure the RRE ID states up to date with Medicare to meet Federal government compliance.
Setup in a table the appropriate Program Numbers with the RRE ID, perform testing, and ensure we are reporting correctly.
Escalate and work with Client Services Account Executives to ensure their respective clients are compliant with government regulations.
Attain Section 111 Mandatory Insurance Reporting knowledge understanding the guidelines and regulations.
Partner with others on the SCHIP Compliance Team on both technical matters and client issues.