Customer Service Representative I – Enrollment

🔥 47 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

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Geisinger

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1915

🏥 Healthcare

💊 Pharmaceuticals

🧘 Wellness

Healthcare • Pharmaceuticals • Wellness

Geisinger is a healthcare organization that has been providing accessible medical services for over a century in Pennsylvania. It focuses on meeting the healthcare needs of its communities and is dedicated to innovative patient care. With career opportunities in various fields including nursing, allied health, and administration, Geisinger promotes professional development and a supportive workplace for its employees, emphasizing diversity, equity, and inclusion.

📋 Description

• Assists in resolving customer concerns, providing appropriate education/instruction and maintaining customer satisfaction by providing the highest level of customer service for enrollment. • Resolves and reconciles enrollment reports and all related eligibility issues. • Initiates communication and literature to the newly enrolled Health Plan member. • Interprets and applies rules and regulations in contractual agreements. • Performs membership data extract reports and supplies them to employer groups as an audit tool for accuracy and compliance. • Determines the eligibility of members as well as processing terminations and disenrollments. • Prepares and disseminates letter communications to subscribers and members regarding enrollment activity. • Reviews suspended claims for resolution by applying current policies, procedures, and benefits applicable to specific products. • Provides team building resources to assist peers in directing claims resolution policies and procedures.

🎯 Requirements

• High School Diploma or Equivalent (GED)- (Required) • Minimum of 1 year-Customer Service (Required)

🏖️ Benefits

• healthcare benefits from day one, including vision, dental, and benefits for domestic partners • an atmosphere of collaboration, cooperation, and collegiality