Customer Service Representative I – Enrollment
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Job Description
Customer Service Representative assisting with enrollment for Geisinger Health Plan. Providing high-level customer service, resolving concerns, and maintaining satisfaction.
Responsibilities:
- 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
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