Service Center Representative (Healthcare)
Job Description
*Job Description*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 and external customers and vendors to resolve any issues related to support services activities. Collecting and monitoring productivity and customer service quality measures.
*Additional Skills & Qualifications*
Top 3 Required Skills. Candidate Should Have: 6 or more months data entry experience required. 1 year of relevant experience required. Heavy on the customer service call center or customer facing experience
*Experience Level*
Expert Level
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*Pay and Benefits*
The pay range for this position is $23.00 - $23.00
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*
This is a fully onsite position in San Diego,CA.
*Application Deadline*
This position will be accepting applications until Jan 16, 2025.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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