Office Support Clerk, Sr

Zenith American Solutions•Tualatin, OR

20h

About The Position

Provides exceptional customer service to members and providers regarding routine to moderately complex billing and eligibility issues. Creates and maintains accurate enrollment, billing and eligibility records for administration of Plan benefits; reconciles and troubleshoots moderately complex issues. Position works within plan guidelines and applicable regulations such as Taft Hartley, ERISA, HIPAA, etc. Accomplishes work independently with minimal supervision. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."

Requirements

Possess a strong work ethic and the ability to work effectively in a team environment
Highly developed sense of integrity and commitment to customer satisfaction
High school diploma or general education degree (GED)
Minimum 1 year of related experience
Ability to type 45 WPM and use a 10-key
proficient PC skills, including MS Word and Excel
Strong math skills including the ability to calculate figures and amounts such as discounts, interest, proportions, and percentages
Solid organization skills with strong detail orientation/high degree of accuracy
Strong research, analytical and problem-solving skills
Ability to communicate clearly and professionally, both verbally and in writing
Ability to effectively present information in one-on-one situations to customers, clients and other employees
Ability to follow standard operating procedures
Able to maintain excellent attendance and punctuality
Read and interpret documents and write routine reports and correspondence

Responsibilities

Provide customer service (telephone, electronic and in-person) for billing and eligibility to providers, members and employers; maintain positive client relationships.
Prepare and process incoming/outgoing contribution reports; review for completeness and accuracy; correct discrepancies.
Prepare termination letters, COBRA and self-pay correspondence, and HIPAA notices.
Process COBRA payments, refund requests, disability waivers and cash receipts.
Process new enrollments and update existing enrollments for participants and qualified dependents.
Identify, request and follow up on necessary dependent documentation (i.e. marriage licenses, birth records, domestic partner information, etc.).
Provide eligibility updates to outside insurance carriers.
Update participant and dependent information in the system; perform other general data entry and clerical tasks.
Receive and process new employer contracts.
Consistently meet established performance standards.
Occasional work outside of normal work hours (i.e. weekends/extended hours) based on business needs.
Perform special projects as requested by management.
Perform other related duties and special projects as assigned.