Health Plan Customer Service Associate
About The Position
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Adventist Health Roseville is seeking a Health Plan Customer Service Associate for a full-time position with 8-hour day shifts. We are looking for a qualified and dedicated individual who is able to work onsite at our Roseville, CA location. Handles incoming calls from plan members and healthcare providers for the health plans. Provides information as needed for questions related to medical, dental, vision claims based upon the benefit descriptions. Provides communication, information, assistance and coordination for all customer requests.
Requirements
- Two years' experience in customer service and or health plan customer service experience
Nice To Haves
- High School Education/GED or equivalent: Preferred
- Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
Responsibilities
- Provides information as needed for questions related to medical, dental and vision claims.
- Serves as the subject matter expert for the benefit descriptions, claims payment process and plan provisions.
- Receives, processes, and distributes all types of incoming mail.
- Properly records incoming checks.
- Manages filing systems for incoming, outgoing and processed mail.
- Pulls files/claims as needed for staff.
- Prepares bills to be sent for review.
- Maintains basic knowledge of claims software system.
- Prepares general documents.
- Completes copywork as requested.
- Retrieves files.
- Requests equipment service.
- Provides relief receptionist coverage.
- Delivers, distributes and assists with maintenance of supplies.
- Performs other job-related duties as assigned.
Benefits
- Medical
- Dental
- Vision
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
