Health Plan Customer Service Associate

Adventist Health • Roseville, CA

5d

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. Job Summary: 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

• High School Education/GED or equivalent
• Two years' experience in customer service and or health plan customer service experience

Nice To Haves

• Associate’s/Technical Degree or equivalent combination of education/related experience

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED