Senior Service Center Representative Banner Plans and Networks

Banner Health • Tucson, NV

7d • $20 - $30 • Remote

About The Position

Banner Plans & Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare costs while keeping our members in optimal health. BPN is known for its innovative, collaborative, and team-oriented approach to healthcare. We offer diverse career opportunities, from entry-level to leadership positions, and extend our innovation to employment settings by including remote and hybrid opportunities. As a Senior Service Center Representative for Banner Plans & Networks you will take inbound calls answering member and provider questions regarding coverage, benefits, claims, and other plan inquiries. You will be working in a fast paced and multitasking environment. You will provide excellent customer service and satisfaction with a goal of first call resolution. As a Senior Service Center Representative, you will be working in a remote setting. Your shifts will be Monday-Friday between 8am-8pm, Arizona Time Zone. (Some after-hours or weekends may be required for certain types of training. Advanced notification will be provided when this is necessary.) This is a fully remote position and available if you live in the following states only: AZ, CA, CO, NE, NV, and WY. Banner Plans & Networks (BPN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BPN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs. POSITION SUMMARY This position provides leadership and expertise to the representatives providing customer service to providers and members of benefit plans; supports the development of the company health plans as well as the staff by coordinating the training, documentation, client communication techniques, and other resources necessary to ensure an excellent quality of service. This position serves as a primary resource in complex and/or sensitive cases and takes escalated calls. May be assigned to work in a variety of team leadership, work flow management and/or quality assurance functions.

Requirements

• High school diploma/GED or equivalent working knowledge.
• Must have substantial previous related work experience in managed care benefits member/provider services work are required, with three to fours years of experience in a high volume service center or managed care environment, preferably with self-insured plans.
• Must possess excellent communication skills to handle moderately complex inquiries, while maintaining a positive and helpful attitude.
• Requires the ability to handle a high volume of incoming calls, search the database or resources tools for correct and timely information, and maintain a professional demeanor all times.
• Must have the ability to learn and effectively use the company’s customer information systems, as well as developing and maintaining a fundamental knowledge of the organization’s benefit plans.

Nice To Haves

• Experience working with self insured plans is highly preferred.
• Bilingual Spanish/English skills are a plus.
• Additional related education and/or experience preferred.

Responsibilities

• Provides customer service, researches and solves problems for escalated calls and member or provider issues requiring investigation and problem solving.
• Provides training and informational/reference resources for the service center.
• Maintains records, tracks cases, issues correspondence and log events for assigned area of benefits services.
• Provides direction and leadership in daily work and workflow of a service center team.
• Works on special projects as assigned.
• Works under limited supervision to provide for diverse customer service needs for multiple benefit plans. Interprets company and contracted managed care organization policy and procedure. Makes decisions within structured definitions and defined policy.

What This Job Offers

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