The Health Plan (THP) · 13 hours ago
Customer Service Coordinator
Wheeling, WV, US
Full-time
Onsite
Mid Level
3+ years expThe Health Plan (THP) is a company focused on providing health services, and they are seeking a Customer Service Coordinator to assist with daily operational activities in the call center. The role involves supporting the Manager and Director, addressing claims payment issues, and providing guidance to the team.
Health CareInsuranceNon ProfitWellness
Responsibilities
Maintains a positive, caring work relationship with others
Assess issues and problem solves at root cause level and assists CSR with difficult situations
Assist Manager with monitoring and auditing CSR calls
Responds to written correspondence in a timely, professional and friendly manner
Ability to prioritize multiple tasks
Records and communicates all information clearly and accurately
Maintains monthly monitoring score of 90% accuracy or above on the 17 points of excellence
Demonstrates a complete understanding of departmental policies and procedures
Ability to perform tasks without supervision
Meets requirements on annual performance evaluation
Documents calls according to departmental guideline
Assist with training and maintaining/updating shared training documents
Qualification
Required
High School graduate or equivalent
Three years of call center experience
Self-starter and works independently
Detail oriented with good problem solving skills
Ability to prioritize and meet deadlines
Consistently displays a positive attitude
Excellent communication skills
Easily adapts to changes in work requirements
Knowledge of company software and equipment
Preferred
Associates degree or 4-5 years call center experience
Knowledge of CPT and ICD 10 Coding
Knowledge of medical terminology
Knowledge of member benefits and health insurance concepts
Must have knowledge of hospital and physician claims
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.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Ryan J. Ralston
Chief Financial Officer
Bob Roset
Senior Vice President, Information Systems (CIO)
Company data provided by crunchbase