Employee Benefits Account Manager

Stephens Insurance seeks a detail-oriented Employee Benefits Account Manager to focus on carrier billing reconciliation and resolve discrepancies for client accounts. This role ensures accurate invoicing and smooth billing processes while providing support for account management, including claims resolution and benefit inquiries.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Reconcile carrier invoices against client eligibility files from the Benefits Administration System and payroll deduction reports.
• Manage and maintain a monthly reconciliation report for payroll changes on all groups.
• Investigate and resolve billing discrepancies, coordinating with carriers and clients as needed.
• Handle all employer level billing problems on behalf of the Group Administrator with their respective carriers. Document all billing service issues in the system
• Maintain accurate documentation in the electronic document management system and track open issues.
• Maintain up-to-date knowledge of carrier billing procedures and submission requirements.
• Communicate proactively with carriers and clients regarding billing status and any identified discrepancies.
• Perform needed updates in the Benefits Administration System as needed; and if necessary, communicate needed changes to the carrier.
• Provide customer service support for client accounts, including claims issue resolution, enrollment assistance, and general benefit inquiries.
• In order to remain in compliance with HIPAA regulations, maintain confidentiality on behalf of the employee while handling claims issues. Information relative to a specific employee’s claims should NOT be communicated to the Group Administrator or anyone at the employer level without the employee’s consent.
• Maintain current information relative to carrier’s respective networks as well as claim eligibility requirements relative to In Network/Out of Network specifics to administer claims issues.
• Participate in weekly staff meetings to report on open recon issues.
• Perform other tasks as assigned by management.
  
  

EDUCATION AND/OR EXPERIENCE

• Associate’s degree in a related field.
• 5 years of related experience and/or training.
• Equivalent combination of education and experience.
  
  

Knowledge, Skills, And Abilities

• Strong analytical and problem-solving skills with attention to detail.
• Strong knowledge in Microsoft Excel (i.e., formulas and pivot tables)
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong analytical and problem-solving skills with attention to detail.
• Ability to learn industry-specific software (e.g., ImageRight).
• Ability to maintain confidentiality and comply with HIPAA regulations.
• Accounting background is beneficial.