04-Apr-2023 to Until Filled (MST) USA $18.50 Hourly Full Time
Do you want a career where you can make a difference? Allegiance is a growing company with hometown values that is looking for dynamic candidates to join the team! A positive, team-oriented environment is provided with opportunities for advancement.
Allegiance offers full-time positions with evenings, weekends, and holidays off and a multi-faceted benefits package.
We pride ourselves in having a reputation for top-notch customer service. Make a difference. Start your career with Allegiance today!
POSITION RESPONSIBILITIES:
The Customer Service Representative answers telephone inquiries from plan participants, client contacts, and providers regarding self-funded and partially self-funded group health benefits and/or the fully insured product. The incumbent is also responsible for claims payment research.
The incumbent is expected to communicate professionally with peers, supervisors, subordinates, vendors, customers, and the public, and to be respectful and courteous in the conduct of this position.
ESSENTIAL JOB FUNCTIONS:
Essential job functions include the following. Other functions may be assigned as business conditions change.
• Answer telephone calls from plan participants, group contacts, and providers pertaining to benefits and claims inquiries.
• Provide clear and accurate responses to requests for information.
• Document all calls into Chronolog (by typing in highlights of the conversation) for future referral.
• Return messages left in designated voice mailboxes.
• Read and interpret plan documents for numerous clients, review new documents and amendments as added
• Meet personally with clients as necessary to assist with questions pertaining to their health benefit plan.
• Assist team members as requested.
• Log faxed claims (type information faxes received in Chronolog).
• Return misdirected claims to appropriate provider as received.
• Assist members with website
• Meet or exceed company standards for production and quality.
• Contribute to the daily workflow with regular and punctual attendance.
NON-ESSENTIAL JOB FUNCTIONS:
• Assist with claim information research and identification.
• Assist with provider record maintenance as assigned
• Index claim and correspondence batches as assigned
• Perform assigned duties for specific client groups as needed.
• Assist with employee training and cross-training as needed.
• Research and write up refunds as assigned
• Performs related or other assigned duties as required or directed.
SUPERVISION EXERCISED:
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