Customer Service Representative (Albany)

Company Information: 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.

Work Shifts

• Monday through Friday, 8 am to 8 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 $23.30
  
• 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: 25020
  
• Hiring Range: $23.30 per hour