Job Description

A Technical Account Manager in the software field processes motivated and dedicated to providing top-tier client support. In this client-facing role, you’ll be instrumental in building and nurturing long-term relationships with key clients, ensuring the smooth delivery of services, and supporting the growth and success of client programs. You'll become an expert in our flagship Series 3000 claims management system, guiding clients through their journey with personalized attention.

About Hi-Tech Health

Hi-Tech Health builds turnkey claims administration systems that serve third-party administrators, insurance carriers, provider-sponsored health and medical plans, and many more. Our company was founded in 1990 by a core group of developers who wanted to enhance the healthcare marketplace and increase efficiency in processing claims. The result is a workhorse platform completely customizable to meet any payer’s needs and can be implemented swiftly, without outside consultants. We pride ourselves on our long-lasting relationships with our clients, from start-ups to well-established organizations, and everyone in between. Whatever your adjudication, reporting, or plan needs are, we build our software around you.

Job Duties:

Primary Responsibilities

Develop and maintain strong, strategic relationships with key account stakeholders, serving as their trusted advisor and ensuring alignment with business objectives.
Manage and coordinate the successful delivery of services based on client needs, meeting contractual goals and exceeding client expectations.
Work closely with internal teams, including development and business partners, to ensure client requirements are communicated and met.
Regularly update internal and external stakeholders on the progress of initiatives, key metrics, and outcomes, using CRM tools for accuracy.
Capture client feedback, including "wish lists," to support new product features and system enhancements, contributing to the continuous improvement of HTH’s offerings.
Processing medical claims in the Healthcare Industry, i.e., major medical, supplemental plans and ancillary plans.
Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting hospital and physician claims.
Consistently meet established productivity, schedule adherence and quality standards
Knowledge of International Classification of Diseases (ICD) and/or Current Procedural Terminology (CPT) codes required.
Answers phone calls regarding claims questions as needed.
Adheres to privacy and confidential and proprietary company policies and procedures (i.e., HIPAA).
Ability to confirm accurate repricing of claims according to the physician/facility contracts.
Review scanned claims for accuracy.
Learn the proprietary software, HTH Series 3000
Communication with team members and interacting effectively.
Support a team approach to the position.
This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims to identify discrepancies, verify pricing, confirm prior authorizations, and process them for payment. You’ll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member's claim.

Qualifications:

High School Diploma minimum
Proven work experience as a Technical Account Manager or similar role. Preferably in the health care space.
Strong knowledge of technical and software development processes.
Strong problem-solving skills and willingness to roll up one’s sleeves to get the job done.
Excellent written and verbal communication skills.
Ability to manage multiple accounts effectively.
Strong time-management and organizational skills.
Proven experience in managing technical accounts or relevant roles that involve client handling and technical understanding.
Ability to understand, discuss and relay technical information to both technical and non-technical clients.
Excellent communication and interpersonal skills for building and maintaining strong relationships with clients and team members.
Strong problem-solving skills to handle any issues or complaints that may arise from clients.
Proficiency in using customer relationship management software and other related tools to manage and track interactions with clients.
Ability to multi-task, prioritize, and manage time effectively. The role often requires managing multiple accounts simultaneously.
Knowledge and understanding of IT systems and infrastructure, as well as the ability to translate client needs into technical requirements.
Proactive mindset to anticipate and understand client needs and improve client satisfaction and retention.
Business acumen to understand the customer’s business model and suggest products or services that fit their business needs.
Prior Experience Required experience analyzing healthcare claims data or adjudicating claims.
Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications.
Experience in using Excel to create and maintain spreadsheet, Word for documentation.
Ability to screen and populate from different sources.
Experience using Microsoft Office to manage emails.
Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product.
Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
Able to pass a preliminary credit and background check.
Office environment