Peak Health
51 - 200 employees
⚕️ Healthcare Insurance
🤝 Non-profit
Healthcare Insurance • Non-profit
Peak Health is a health insurer and health insurance services company headquartered in Morgantown, West Virginia. It is owned by three not-for-profit health care providers: WVU Health System, Marshall Health Network, and Valley Health. Peak Health aims to improve community health outcomes by offering an inclusive, provider-led health plan for residents of West Virginia and surrounding areas. The company is committed to making health care more accessible, understandable, and collaborative, with a focus on reducing costs and administrative fees for patients and employers. Peak Health also offers Medicare Advantage coverage tailored for West Virginia seniors through partnerships with leading health systems.
Medicare Member Services Representative
🕒 July 9
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Peak Health
51 - 200 employees
⚕️ Healthcare Insurance
🤝 Non-profit
Healthcare Insurance • Non-profit
Peak Health is a health insurer and health insurance services company headquartered in Morgantown, West Virginia. It is owned by three not-for-profit health care providers: WVU Health System, Marshall Health Network, and Valley Health. Peak Health aims to improve community health outcomes by offering an inclusive, provider-led health plan for residents of West Virginia and surrounding areas. The company is committed to making health care more accessible, understandable, and collaborative, with a focus on reducing costs and administrative fees for patients and employers. Peak Health also offers Medicare Advantage coverage tailored for West Virginia seniors through partnerships with leading health systems.
📋 Description
• Take inbound calls from Peak Health Medicare Advantage members and providers answering questions ranging from general information to complex inquiries. • Make outbound calls to members and providers with issue resolution or to gather further information. • Research and resolve member issues and questions in collaboration with management and peers on the Peak team.
🎯 Requirements
• High School diploma or equivalent • One (1) year of experience with handling Medicare claims or related experience • Three (3) plus years’ experience in a fast-paced call environment with processing and/or customer service experience • Two (2) years’ experience in Medicare benefits • Two (2) years’ experience in knowledge of CMS guidelines • Experience supporting Dual Eligible Special Needs Plans (D-SNP)
🏖️ Benefits
• Health insurance • Paid time off • Opportunity for professional development
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