COBRA/Direct Billing Account Manager at bswift

| Chicago
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Job Description
bswift is currently seeking an experienced Account Manager to join our Direct Client Services COBRA and Billing Team.

The COBRA and Direct Billing Account Manager is bswift's point of contact for clients utilizing bswift’s COBRA, Retiree, LOA/Leave of Absence and/or other direct billing services. This individual will be the owner of assigned accounts responsible for ensuring the timely and high-quality completion of all activities and communications required to maintain compliance and to create raving fans.
As bswift pivots its model for COBRA and Direct Billing, this role will have responsibilities in multiple technology systems and service models. Initially, as the assigned COBRA and Direct Bill Account Manager the individual will be the primary point of contact with assigned clients related to their outsourced benefit billing services, anticipating and fulfilling their needs in order to exceed their expectations, including quality and timeliness of all processes and communications for assigned accounts. Additionally, this individual will be responsible for project management, relationship ownership and execution of tasks to ensure success for internal and external clients alike.
Responsibilities include:
• Acquiring requirements (including plan and employer information) and maintaining data in the billing system as requirements change.
• Proactively identify, research, and correct discrepancies between the systems.
• Ensure all processes are completed on time and correctly, including file loads, new plan and rate acquisition and information required to support new entities acquired by our clients.
• Be accountable for ensuring a timely and high quality Open Enrollment, Acquisitions or Ad Hoc Projects for billed member populations.
• Ensure any custom processes agreed to with clients are fulfilled as expected.
• Identify problems and ensure their resolution prior to negative client or member impact.
• Ensure all reporting and payments made to assigned clients are accurate and timely.
• Support account coordinators and ensure the timely and high quality completion of their work done to support your accounts.
• Triage client tickets and/or questions (email and voicemail) within 24 hours; maintaining ownership from initial customer.
• Assist service center reps and other team members with escalated calls, taking responsibility for the case where appropriate to ensure client satisfaction.
• Fully understand COBRA regulations and ensure plans remain fully compliant.
• Research and respond to appeals, complaints, requests and other specialized communications from clients or participants.
• Know internal processes and systems and proactively identify and drive continuous improvement of quality and efficiency.
• When issues occur, get to the root cause of the problem and take action to ensure it is resolved.
• Plan and execute testing of changes in Enrollment and Billing systems to ensure quality prior to implementing with clients

(NOTE: NIGHT AND WEEKEND WORK MAY BE NECESSARY)

Required Qualifications
3+ Years of direct client and/or analyst experience preferred. At least 1 year of previous COBRA billing experience

Solid Technical background

Must be proficient in Excel (VLOOKUP, Pivot Tables, Basic Functionality)

Good written/verbal communication skills and the ability to communicate with both technical and non-technical personnel; ability to listen, clarify and respond well to questions

Ability to operate and make timely decisions in an ambiguous, fast-paced atmosphere

Must be able to quickly sort through complex subject material

Strong analytical skill set and ability to effectively use data for strategy

High level of productivity, reliability, responsibility, attendance, dependability, organization and accuracy/thoroughness

Ability to take initiative to meet challenges with resourcefulness and new innovative approaches while maintaining a high level of quality

Must possess a passion for teamwork, client service and reaching business results through problem solving

Preferred Qualifications
Experience with benefits administration / open enrollment processes / COBRA billing knowledge

Education
A Bachelor’s Degree from a four-Year College or university; or equivalent combination of education and experience.

Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.


We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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Location

10 S Riverside Plaza, Suite 1100, Chicago, IL 60606

What are bswift Perks + Benefits

Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
A flexible spending account lets you set aside pretax dollars to help pay for certain types of health care and/or dependent care expenses.
Dental Benefits
Choose between a dental maintenance organization plan and preferred provider organization plan. Both cover certain preventive care services at 100%. They also offer coverage for basic services.
Vision Benefits
You can enroll in a separate vision plan. It covers eyeglasses and contact lenses. Preventive vision exams are covered through the Aetna medical plan.
Health Insurance Benefits
You can choose from three types of medical plans: a health savings account, a health reimbursement arrangement or a hybrid health plan. Certain preventive care services are covered at 100 percent when
Life Insurance
All employees get term life insurance and business travel accident insurance at no added cost. You have the option to buy: Supplemental term life insurance Accidental death and personal loss insura
Wellness Programs
Our employee wellness program offers services such as wellness campaigns, weight-management programs and educational seminars.
Onsite Gym
Retirement & Stock Options Benefits
401(K)
You can save a percentage of your pay in the 401(k) plan, on a pretax and/or Roth after-tax basis. You may participate in the 401(k) plan immediately following your hire.
401(K) Matching
We match a portion of your contribution. You can invest your contributions among various options offered in the plan.
Company Equity
You can purchase Aetna stock at a discount through a payroll deduction. In order to participate, eligible employees must enroll during the enrollment period announced by Aetna.
Vacation & Time Off Benefits
Generous PTO
During your first 3 years at Aetna, you receive the equivalent of 18 days off per year. The longer you work at Aetna, the more time you accrue per month.
Paid Volunteer Time
One of our values is to improve the quality of life in communities through employee volunteerism.
Paid Holidays
Perks & Discounts
Casual Dress
Commuter Benefits
Stocked Kitchen
Happy Hours
Professional Development Benefits
Job Training & Conferences
Tuition Reimbursement
We encourage professional development. That's why we provide financial support for continuing education. This program covers a portion of tuition and registration fees for a college course.

Additional Perks + Benefits

The following programs, activities, and amenities are available to employees at bswift: complimentary fresh fruit, on-site flu shots, massages during open enrollment season, walking treadmill desk, foosball and ping-pong tables, casual attire, zen room for relaxation and nursing mothers, full week of employee appreciation, and proximity to public transportation • Healthy lifestyle incentive programs - This incentive program is offered to all eligible employees. You can earn up to $500 for healthy eating, physical activity and other healthy behaviors. Family members can also earn incentives • During your first 3 years at bswift, you receive the equivalent of 18 days off per year. The longer you work at bswift, the more time you accrue per month. Company holidays, jury duty, military leave, bereavement and community service time are in addition to your paid time off • You can purchase company stock at a discount through a payroll deduction.

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