Customer Service Representative

EmblemHealth
United States, New York, East Syracuse
June 07, 2024
In-Person Hiring Event Monday, June 24, 2024 (8:30 am to 1:00 pm & 2:30 pm to 6:00 pm) and Tuesday, June 25, 2024 (8:00 am to 12:00 pm & 2:00 pm to 5:00 pm) Marriott Syracuse Downtown - 100 East Onondaga Street, Syracuse, NY 13202 EmblemHealth is a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions. As one of the nation's largest not-for-profit health insurers, we serve more than three million people in the New York tristate area. All positions will be onsite at our Syracuse Campus located at 5015 Campuswood Drive, East Syracuse, NY 13057 Work Shifts Monday through Friday, 10 am to 6 pm (35-hour work week) Training Must be available to attend 8-week paid training program, Monday through Friday, 10 am - 6 pm Compensation and Benefits Hourly Pay Rate is $22.19 We offer competitive health and wellness benefits Please review the position description below: Receive, answer and/or record telephone/correspondence/e-mail inquiries from subscribers, providers, and other consumers relating to areas of coverage, payment of claims, membership status, medical management intake calls, etc., under the various EmblemHealth medical/surgical, dental, hospital and Medicare plans. Review inquiries, correspondence and email receipts. Prepare email resolutions, letters (form or narrative letter) and/or claims payment process adjustments. Perform written and verbal duties of the position to meet company goals for production and accuracy. Perform related claims approving and clerical work as assigned. Perform other duties as assigned or required. Regular attendance is an essential function of the job. Qualifications: Must be able to work under pressure, handle stressful situations effectively and deal politely with subscribers and providers on the telephone, in person, and email/correspondence Ability to detect and relate problem service issues to management Ability to speak well on the telephone and maintain a positive telephone personality Must be able to compose clear concise letters If designated, sort and screen correspondence receipts and resolve via coding of additional payment, possibly including salvage and/or completion by letter Typing and PC skills Ability to adapt to change and address multiple issues simultaneously Good organizational skills Must be available for training Education and Experience: A minimum of two (2) years' experience in customer service; one year must be in a call center setting A college degree is preferred Health insurance experience is a plus Additional Information Requisition ID: 2401X Hiring Range: $22.19 per hour