Health Plan Customer Service Associate jobs in United States
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Adventist Health · 2 hours ago

Health Plan Customer Service Associate

Adventist Health is a faith-based, nonprofit, integrated health system serving over 100 communities on the West Coast and Hawaii. The Health Plan Customer Service Associate handles incoming calls from plan members and healthcare providers, providing information related to medical, dental, and vision claims based upon benefit descriptions.

Elder CareHealth CareHospitalMedicalNon ProfitWellness
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Responsibilities

Provides information as needed for questions related to medical, dental and vision claims
Serves as the subject matter expert for the benefit descriptions, claims payment process and plan provisions
Receives, processes, and distributes all types of incoming mail
Properly records incoming checks
Manages filing systems for incoming, outgoing and processed mail
Pulls files/claims as needed for staff
Prepares bills to be sent for review
Maintains basic knowledge of claims software system
Prepares general documents
Completes copywork as requested
Retrieves files
Requests equipment service
Provides relief receptionist coverage
Delivers, distributes and assists with maintenance of supplies
Performs other job-related duties as assigned

Qualification

Customer service experienceHealth plan knowledgeClaims software knowledgeHigh School EducationAssociate’s Degree

Required

High School Education/GED or equivalent
Two years' experience in customer service and or health plan customer service experience

Preferred

Associate's/Technical Degree or equivalent combination of education/related experience

Benefits

A comprehensive benefits program is available for qualifying positions.

Company

Adventist Health

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Adventist Health is a Adventist Health is a not-for-profit health care organization .

Funding

Current Stage
Late Stage

Leadership Team

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Gwen Mathews
CEO Ukiah Valley Medical Center, SrVP Operations AH Northern Cal Network
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Kerry L. Heinrich
President and CEO
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Company data provided by crunchbase