Service Center Representative
About The Position
The overall objective of this position is to perform the account maintenance billing reconciliation reporting and/or customer service related activities. Duties could include one or more of the following: performing database maintenance and research tasks to support the contracts administration cash control operations and assignment of medical record numbers to generate and distribute contracts and member I.D. cards to provide facilities support and to enter documents into the workflow imaging system. ACCOUNTABILITIES: Identifying researching and reconciling billing payments amounts to ensure accurate eligibility determination payment revenue and membership records. Setting up and maintaining member data including but not limited to processing enrollments corrections retroactivity adjustments and terminations. Supporting eligibility inquiries. Ensuring bills are correct and mailed timely. Interacting with purchaser benefit administrators to answer questions and explain Health Plan policy and contractual provisions related to membership and billing. Resolving related problems. Assisting Health Plan purchaser contacts and sales and service representatives in the sales process and the analysis and resolution of problems related to membership accounting. Resolving payment discrepancies and delinquencies. Identifying coding batching scanning and indexing documents for imaging. Providing office services support including but not limited to picking up sorting and delivering mail filing and retrieving documents ordering and distributing office supplies performing miscellaneous facilities maintenance tasks and providing photocopying and copier maintenance. Working with internal and external customers and vendors to resolve any issues related to support services activities. Collecting and monitoring productivity and customer service quality measures. Participating team-based projects and contributing to customer service and operations improvements initiatives. Assisting with training as required. Facilitating communications across all lines of business and with other . Participating in purchasers performance evaluations and performance target setting activities. Perform other duties as they are assigned.
Requirements
- Minimum of 2 years experience in accounting finance or related field preferred
- Proficiency in math data entry typing spelling and grammar for which tests are required
- Demonstrated ability to work in a team-based environment
- Successful customer service track record
- Ability to diagnose analyze and solve a variety of quantitative and qualitative problems
- Ability to communicate clearly and professionally
- Computer experience preferably in a PC windows based environment
- Willing to learn new tasks and adapt to new business requirements
- Excellent conflict resolution and decision making capabilities
- Ability to work productively at multiple tasks
- Ability to adapt to change and be flexible in shifting priorities
- AAR V2 Must have Recommended score above 31tile. Full detailed report uploaded in Fieldglass
- Computer Literacy Test Must score above 31tile to be considered for the role. Full Detailed report uploaded into Fieldglass
Nice To Haves
- Analytical
- Detail Oriented
- Customer Centric Service Model
Responsibilities
- Performing database maintenance and research tasks to support the contracts administration cash control operations and assignment of medical record numbers to generate and distribute contracts and member I.D. cards to provide facilities support and to enter documents into the workflow imaging system
- Identifying researching and reconciling billing payments amounts to ensure accurate eligibility determination payment revenue and membership records
- Setting up and maintaining member data including but not limited to processing enrollments corrections retroactivity adjustments and terminations
- Supporting eligibility inquiries
- Ensuring bills are correct and mailed timely
- Interacting with purchaser benefit administrators to answer questions and explain Health Plan policy and contractual provisions related to membership and billing
- Resolving related problems
- Assisting Health Plan purchaser contacts and sales and service representatives in the sales process and the analysis and resolution of problems related to membership accounting
- Resolving payment discrepancies and delinquencies
- Identifying coding batching scanning and indexing documents for imaging
- Providing office services support including but not limited to picking up sorting and delivering mail filing and retrieving documents ordering and distributing office supplies performing miscellaneous facilities maintenance tasks and providing photocopying and copier maintenance
- Working with internal and external customers and vendors to resolve any issues related to support services activities
- Collecting and monitoring productivity and customer service quality measures
- Participating team-based projects and contributing to customer service and operations improvements initiatives
- Assisting with training as required
- Facilitating communications across all lines of business and with other
- Participating in purchasers performance evaluations and performance target setting activities
- Perform other duties as they are assigned
Benefits
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
Number of Employees
501-1,000 employees
