CUSTOMER SERVICE REP II

  • Beacon Health Options
  • Seven Fields, Pennsylvania
  • Mar 21, 2019
Medical

Job Description


Location
PA: Seven Fields

Job Family
Customer Service


Job Brief

We are currently seeking a dynamic Customer Service Representative to join our team at our office in Seven Fields, PA

ABOUT THE POSITION

We are currently seeking a dynamic Customer Service Representative to join our team at our office in Seven Fields, PA. The Customer Service Rep screens telephone service requests and initiates cases, answers basic inquiries, makes referrals to appropriate Beacon personnel, and provides information concerning certification to providers and subscribers. Member & Provider Services Representatives will serve as the member's Single Point of Contact for the PA HealthChoices Program.

Position Responsibilities:
  • The Customer Service Representative is responsible for initiating cases and making appropriate referrals by:
  • Answering and screening telephone service inquiries and collecting demographic and jurisdictional data;
  • Analyzing member/provider problems and advising caller(s) regarding plan coverage and eligibility;
  • Referring callers requesting service to Beacon resources or outside contractors as appropriate;
  • Verifying benefits against contract requirements prior to initiating the case; and,
  • Performing other duties as assigned.

Position Requirements:

Education:
  • A high school diploma or equivalent is required. An Associate's Degree or equivalent related experience is preferred.

Relevant Work Experience:
  • Minimum one (1) or more years of experience working in mental health care and/or insurance/claims adjudication environment.
  • Telemarketing or customer service experience helpful.


TO APPLY

Click below on "Apply for this Position" to create a profile and apply for the position

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

#CB
#GD
PM16

AAP Reporting Location:

PA - Trafford

ID (Req #):

57137

FTE Status:

Full Time

Schedule:

M-F, 8:30-5p

Non-Exempt

PI108637545