Job Summary

Service Center Rep.

  • Location:
    San Diego, California
  • Job reference:
  • Category:
    Customer Service (non-IT)
  • Contract Type:
    Contract/Temp to Hire

Are you interested in working for a company that is a leader in the healthcare industry??Are you authorized to work in the U.S. without sponsorship?  (We are unable to work C2C all employees must work W2).THIS IS A 4 MONTH CONTRACT-TO-HIRE W2 CONTRACT OPPORTUNITY
Service Center Rep.
Rio San Diego, CA 92108
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.
• 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, 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, contributing to customer service, and operations improvements   initiatives.
• Assisting with training as required.
• Facilitating communications across all lines of business, and with other departments.
• Participating in purchaser’s performance evaluations, and performance target setting activities.
• Perform other duties as they are assigned.
• 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.
If you feel that you are a great match for this opportunity, please apply directly or feel free to contact Nathan at 303-942-2440.
"In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire."

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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

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