Account Coordinator

WellDyne; United States; Remote; USD 42,000 - 65,000; Full time

Job summary

WellDyne in the United States is seeking an Account Coordinator to support the Account Team with client services, plan implementation, and coordination of member materials. This role involves assisting with eligibility, claims issues, and plan updates, while collaborating across internal departments.

The position requires effective communication, multitasking, and strong attention to detail to ensure timely, accurate responses to client inquiries and seamless service delivery in a pharmacy

Qualifications

• Bachelor’s degree in Health Administration, Business, or related field.
• Previous experience in client services or account management preferred.
• Ongoing learning in the pharmacy benefit management industry and product knowledge.

Responsibilities

• Provide day-to-day support to clients and client representatives on eligibility, claims, co-pay questions, and member information.
• Provide timely and accurate answers to issues from internal and external sources.
• Assist the Account Team in the account implementation process and review plan set-up and member materials.

Skills

Interpersonal skills

Time management

Multitasking

Professional communication

Education

Bachelor’s degree in Health Administration, Business, or related field

Tools

MS Office Suite

Job description

At our company, we move fast, adapt quickly, and turn challenges into opportunities—all while keeping quality at the heart of everything we do. We believe that work should be a positive and respectful place, and that with the right mindset, anything is achievable.

Our Vision:

Fulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential.

Our Mission:

To be the disruptive force that drives meaningful change within pharmacy services.

Summary

The Account Coordinators are responsible for assisting the Account Team in the service of his/her assigned accounts which includes web-tool training, eligibility help, trouble-shooting plan or member issues, report requests, and coordination with internal departments to fulfill day-to-day client needs or requests. This position will also assist in plan implementation and interaction for plan updates and changes when required.

Essential Duties and Responsibilities:

• Provides day-to-day support to clients and client representatives regarding various issues such as eligibility, claims or rejected claims, co-pay questions, and member information.
• Provides timely and accurate answers to issues/inquiries from internal and external sources.
• Assists the Account Team in the account implementation process–including attendance of client implementation meetings, review of plan set-up and processing of member materials.
• Escalates high priority or reoccurring issues to the appropriate Client Services team member to ensure resolution; may require running reports, investigating causes and flagging the problem for follow-up.
• Maintains professional interdepartmental relations and communication on all client service issues.
• Submits required paperwork to other departments through processing tools
• Assists in servicing the total customer relationship requiring interaction with medical administrators, brokers, consultants, legal personnel, trustees, etc.

Requires knowledge and use of multiple proprietary software systems and functions.

Other duties as assigned.

Education and Experience

• Bachelor’s degree in Health Administration, Business, or related field desired. Proven industry experience may be acceptable in lieu of degree.
• Previous experience in client services or account management is preferred.
• Requires ongoing learning in the pharmacy benefit management industry and continuous product knowledge development in the areas of healthcare and PBM, company specific product offerings, basic pricing components, and company capabilities and limitations.

Knowledge, Skills, and Abilities

• Ability to communicate with all levels of people in a manner which illustrates superior professionalism.
• Excellent interpersonal skills for dealing with clients, peers, other departments, and senior management.
• Excellent written communication and documentation skills.
• Ability to manage multiple projects to successful conclusion.
• Must have the ability to use logical methods to address problems and develop effective solutions ensuring customer expectations are met or exceeded.
• Ability to identify developing problems and take actions as needed.
• Must have advanced attention to detail with the ability to prioritize and meet deadlines.
• Ability to organize information in a clear and concise manner.
• Must have working knowledge desktop computer applications in the MS Office Suite.
• Requires knowledge and use of multiple proprietary or industry software systems and functions.
• Ability to adapt and be flexible in a variety of situations.
• Ability to multitask and possess excellent time management skills.
• Ability to analyze and interpret data/issues to identify root cause and resolution.
• Must be able to work independently as well as support and contribute to team goals.
• Follows all policies and procedures related to job responsibilities and participates in the development and maintenance of departmental policies and procedures for Client Services, as appropriate.
• Exhibits compliant and ethical behavior in the performance of job responsibilities, including complying with all applicable federal and state laws and regulations, WellDyne Code of Conduct, Business Ethics Policies and Procedures, and other policies and procedures applicable to position.
• May require additional coverage times outside of regularly scheduled hours.

Work Environment / Physical Demands

This position is in a typical office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. Some travel may be required.

EOE M/F/D/V – WellDyne and HealthDyne are equal opportunity employer and prohibits discrimination of any kind. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected status under federal, state, or local law.