The Health Plan (THP) · 2 months ago
Employer Service Support
Wheeling, WV, US
Full-time
Onsite
New Grad, Entry LevelThe Health Plan (THP) is committed to providing quality services and support to its members. The Employer Service Support (ESS) role involves managing document queues for member reimbursement requests and provider pricing verification, ensuring timely communication and completion of tasks.
Health CareInsuranceNon ProfitWellness
Responsibilities
Answers all calls and correspondence in a timely, professional and friendly manner
Documents and tracks all information clearly and accurately
Completes work within deadlines
Communicates with members and providers as necessary to obtain information
Manages multiple tasks and priorities
Understands members benefits and plan to relay the information clearly and accurately
Understands claim detail, identifies claim issues and reports issues to management when necessary
Keep all member protected health information (PHI) confidential
Supports Manager and Employer Service Reps when needed
Qualification
Required
High School graduate or equivalent
Detail oriented and good critical thinking skills
Superb organizational skills
Able to communicate clearly and accurately with members, coworkers and management
Ability to prioritize and meet deadlines
Work efficiently in a fast-paced environment
Proficient in computer skills including Microsoft Office programs (Word, Excel, Office)
Preferred
Previous administrative experience
Knowledge in medical terminology and CPT and ICD-9/ICD-10 coding
Knowledge in health insurance
Company
The Health Plan (THP)
The Health Plan is a clinically-driven, technology-enhanced, and customer-focused health maintenance organization that manages and improves the health and well-being of its members.
Founded in 1979
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Ryan J. Ralston
Chief Financial Officer
Bob Roset
Senior Vice President, Information Systems (CIO)
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