Health Plan Customer Service Associate

Adventist Health; Roseville (CA); On-site; USD 52,000 - 61,000; Full time

Benefits offered by this job

Comprehensive benefits package

Job summary

Adventist Health is seeking a customer service specialist to support plan members and providers in Roseville, CA. You will assist with medical, dental, and vision claim inquiries, and serve as the SME for benefit descriptions and claims processes.

The role requires 2 years in health plan or customer service settings and a preferred high school diploma or technical degree. You will handle mail processing, file management, and basic claims software tasks as part of a broader team.

Qualifications

• 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

Responsibilities

• 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.

Skills

Customer service

Communication skills

Phone support

Education

High School Diploma or GED

Associate's/Technical Degree

Job description

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. 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.

JOB INFO

Job Identification : 68614

Job Category : Associate

Posting Date : 2026-09-21T17:07:50+00:00

Job Schedule : Full time

Job Shift : Day Shift

Locations : Roseville, CA, United States

Assignment Category : Full-time regular

Pay Range : The estimated base pay for this position is $25.00 to $29.56. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.

Hiring Department : EHP Claims

Shift Length : 8 Hours