Health Customer Service Representative

**NO EXPERIENCE NECESSARY- WE WILL TRAIN**

Do you want a career where you can make a difference? Allegiance is a growing company with hometown values that is looking for dynamic candidates to join the team! A positive, team-oriented environment is provided with opportunities for advancement.

Allegiance offers full-time positions with evenings, weekends, and holidays off and a multi-faceted benefits package.

We pride ourselves in having a reputation for top-notch customer service. Make a difference. Start your career with Allegiance today!

Screening priority will be given to applicants who live in the Pacific, Mountain, and Central time zones.

POSITION RESPONSIBILITIES:
Through a respectful, constructive, and energetic style guided by the objectives of the Company the Customer Service Representative answers telephone inquiries from plan participants, client contacts, and providers regarding self-funded and partially self-funded group health benefits and/or the fully insured product. The incumbent is also responsible for claims payment research. The Customer Service Representative responsibilities to the team members and team lead increase by assisting as requested to help the team succeed.

The incumbent is expected to communicate professionally with peers, supervisors, subordinates, vendors, customers, and the public, and to be respectful and courteous in the conduct of this position.


ESSENTIAL JOB FUNCTIONS:
Essential job functions include the following. Other functions may be assigned as business conditions change.

• Answer telephone calls from plan participants, group contacts, and providers pertaining to benefits and claims inquiries.
• Provide clear and accurate responses to requests for information.
• Document all calls into Chronolog (by typing in highlights of the conversation) for future referral.
• Return messages left in designated voice mailboxes.
• Read and interpret plan documents for numerous clients, review new documents and amendments as added
• Meet personally with clients as necessary to assist with questions pertaining to their health benefit plan.
• Assist team members as requested.
• Log faxed claims (type information faxes received in Chronolog).
• Return misdirected claims to appropriate provider as received.
• Assist members with website
• Meet or exceed company standards for production and quality.
• Contribute to the daily workflow with regular and punctual attendance.

• Assist with claim information research and identification.
• Assist with provider record maintenance as assigned
• Index claim and correspondence batches as assigned
• Perform assigned duties for specific client groups as needed.
• Assist with employee training and cross-training as needed.
• Research and write up refunds as assigned
• Performs related or other assigned duties as required or directed.

QUALITY ASSURANCE MEASUREMENTS
• Meet or exceed company standards for production and quality and assurance audit


NON-ESSENTIAL JOB FUNCTIONS:
• Performs related or other assigned duties as required or directed


SUPERVISION EXERCISED:
None.


PHYSICAL WORKING CONDITIONS:
Physical requirements are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Sitting 90%

Reaching Some

Standing 5%

Manual Dexterity High

Walking 5%

Telephone Yes

Kneeling Some

Computer Screen High (visual acuity corrected to 20/30)

Bending Some

Lifting up to 30 pounds

Typing 95%

JOB SPECIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Education: High school graduation or GED required. College degree and/or training in medical terminology preferred.

Certification(s) Required: Upon hire, complete the ICSA customer service certification provided through the company.

Minimum Experience: Basic computer and customer service experience required.

Other Qualifications:

Excellent oral and written communication skills required.