Member Services Representative
2 weeks ago
- Member Service Representative / Open Enrollment*
- Start Date: *Monday, September 9th, 2024
- Pay Range: *$20-28/hr
- Contract Length: *3 month contract with limited potential for extension / permanent conversion
- Worksite Location: *Roseville, CA 95661
- Schedule: *Mon-Fri 8am-5pm PST
- Job Description:*
- Communicates via telephone, in person and written correspondence, answers questions regarding the Plans' Benefits, eligibility, claims processing and claims appeal
- Obtains all pertinent information to determine specific purpose of call and/or walk-in.
- Initiates and prepares correspondence and other documentation to resolve questions and provide information to members and others in accordance with Plans' rules, regulations, and practices.
- Initiates and reviews various applications, notices, forms, certifications, self-payments, COBRA, stop payments, clear claim notices. -Identifies and
- Maintains appropriate documentation of all calls & walk-ins. Handles walk-ins in a courteous and professional manner.
- Discerns needs and verifies forms from a walk-in and refers to appropriate personnel based on needs.
- Acts as liaison between member and provider to communicate plan benefits and facilitate claims processing.
- Calculates sick leave banks.
- Refers calls, members, union locals, and others to appropriate department.
- *
- Company Information:*
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