Health Plan Member Support Specialist

Adventist Health; Roseville (CA); Vor Ort; USD 52.000 - 61.000; Vollzeit

Benefits dieser Stelle

Comprehensive benefits package

Zusammenfassung

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.

Qualifikationen

• 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

Aufgaben

• 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.

Kenntnisse

Customer service

Communication skills

Phone support

Ausbildung

High School Diploma or GED

Associate's/Technical Degree

Jobbeschreibung

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.