Review Specialist

Scope of Responsibilities

Assist with the day-to-day operations of Account and Client Service Resources of Pro Act, while focusing on providing top level service to Pro Act clients. Work under direct supervision and follow standard procedures to accomplish assigned tasks.

Assist with the day-to-day operations of Account and Client Service Resources of Pro Act. Coordinate and implement the setup and support of existing Pro Act clients for all aspects of customer service, account management, and quality assurance.

• Process and implement benefit changes and/or updates for existing Pro Act clients in all appropriate systems.
• Perform testing for all new Pro Act clients to measure benefit accuracy.
• Perform quality assurance audits on a regular basis to measure client satisfaction.
• Maintain client information integrity within all appropriate systems.
• Assist Customer Service Representatives in the resolution of customer service issues, requiring additional support, to ensure complete client satisfaction.
• Assist Account Resources in the resolution of customer service issues, requiring additional support, to ensure complete client satisfaction.
• Coordinate, maintain, and manage the distribution of member mailings.
• Responsible for completing all mandatory and regulatory training programs

• Perform other duties as assigned

• Required:
  
  Minimum High School Diploma or GED
• Preferred: AS Degree or Higher in Business Administration, Marketing or related field

• Preferred: 2 Years experience with Health Care, Insurance, or related field

• Drug test
• Initial and continuous exclusion and sanction/disciplinary monitoring
• Any and all additional eligibility requirements based on the specific position

$ per hour

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience, and education.

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state, and federal regulations as it pertains to minimum wage requirements.