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    Service Center Representative - San Diego, United States - Insight Global

    Insight Global
    Insight Global San Diego, United States

    3 weeks ago

    Insight Global background
    Healthcare
    Description

    Job Description

    A top hospital system and healthcare provider on the west coast and in Kearny Mesa/San Diego area is looking for a Service Center Representative to join their team. This is a complex role that will require critical thinking, computer skills, and the ability to make autonomous decisions.

    The Service Center Rep will perform heavy data entry (80%) and outbound calls (20%) supporting health plan enrollment. The overall objective of this position is to perform the account maintenance, billing, reconciliation, reporting and/or customer service related activities. Duties could include one or more of the following: performing database maintenance and research tasks to support the contracts administration, cash control operations and assignment of medical record numbers, to generate and distribute contracts and member I.D. cards, to provide facilities support and to enter documents into the workflow imaging system.

    Additional responsibilities of the Service Center Representative in the Medicaid & Charitable Health Coverage group will include but are not limited to:

    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

    Participating team-based projects and contributing to customer service and operations improvements initiatives

    Assisting with training as required

    Facilitating communications across all lines of business and with other Kaiser Permanente departments

    Participating in purchasers performance evaluations and performance target setting activities

    Perform other duties as they are assigned

    ONSITE/REMOTE:

    This position will start onsite to ensure equipment is working properly and to train, then everyone will go remote

    SHIFT/SCHEDULE:

    Monday - Friday: 8am - 5pm PT with breaks

    ASSESSMENT FOR ROLE:

    All candidates in consideration must take and pass an assessment, scoring highly in the Data Entry, Learning Potential, and Thoroughness sections.

    The assessment will take minutes, so plan accordingly

    IMPORTANT TO NOTE:

    This is one of the top hospital systems and healthcare employers in the US, so this is an excellent opportunity to build transferrable skills and build a resume.

    No flexibility on the start date 7/8/24 or sooner. There will not be a later start date.

    There is NO TIME OFF allowed in the first 90 days and during the holidays This is very important, as the individual will be terminated if they're taking off time from work.

    There will be 2 - 4 weeks where this individual will only work 20 hours per week before open enrollment starts. There will be opportunity for overtime after that

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