Overview
Health Plan Customer Service Associate Jobs in United States at Adventist Health
Title: Health Plan Customer Service Associate
Company: Adventist Health
Location: United States
Job Description
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus – a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Job Summary
Handles incoming calls from plan members and healthcare providers for the health plans. Provides information as needed for questions related to medical, dental, vision claims based upon the benefit descriptions. Provides communication, information, assistance and coordination for all customer requests.
Job Requirements
Education and Work Experience:
High School Education/GED or equivalent: Preferred
Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
Two years’ experience in customer service and or health plan customer service experience: Preferred
Essential Functions
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.
Organizational Requirements
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
About Us
Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God’s love by inspiring health, wholeness and hope.
