A top hospital system and healthcare provider on the west coast and in Kearny Mesa/San Diego area is looking for a Service Center Representative to join their team. This is a complex role that will require critical thinking, computer skills, and the ability to make autonomous decisions.
The Service Center Rep will perform heavy data entry (80%) and outbound calls (20%) supporting health plan enrollment. The overall objective of this position is to perform the account maintenance, billing, reconciliation, reporting and/or customer service related activities. Duties could include one or more of the following: performing database maintenance and research tasks to support the contracts administration, cash control operations and assignment of medical record numbers, to generate and distribute contracts and member I.D. cards, to provide facilities support and to enter documents into the workflow imaging system.
Additional responsibilities of the Service Center Representative in the Medicaid & Charitable Health Coverage group will include but are not limited to:
* Identifying, researching and reconciling billing payments amounts to ensure accurate eligibility determination, payment, revenue and membership records
* Setting up and maintaining member data including but not limited to processing enrollments, corrections, retroactivity adjustments and terminations
* Supporting eligibility inquiries
* Ensuring bills are correct and mailed timely
* Interacting with purchaser benefit administrators to answer questions and explain Health Plan policy and contractual provisions related to membership and billing. Resolving related problems
* Assisting Health Plan purchaser contacts and sales and service representatives in the sales process and the analysis and resolution of problems related to membership accounting
* Resolving payment discrepancies and delinquencies
* Identifying, coding, batching, scanning and indexing documents for imaging
* Providing office services support including but not limited to picking up, sorting and delivering mail, filing and retrieving documents, ordering and distributing office supplies, performing miscellaneous facilities maintenance tasks and providing photocopying and copier maintenance
* Working with internal and external customers and vendors to resolve any issues related to support services activities
* Collecting and monitoring productivity and customer service quality measures
* Participating team-based projects and contributing to customer service and operations improvements initiatives
* Assisting with training as required
* Facilitating communications across all lines of business and with other Kaiser Permanente departments
* Participating in purchasers performance evaluations and performance target setting activities
* Perform other duties as they are assigned
ONSITE/REMOTE:
* This position will start onsite to ensure equipment is working properly and to train, then everyone will go remote
* All candidates must live within 1 hour of 92108 zip code and be willing to commute to the office should their equipment malfunction
* This is not a hybrid role, but there is the option to work full-time onsite should the SCR choose
SHIFT/SCHEDULE:
Monday - Friday: 8am - 5pm PT with breaks
ASSESSMENT FOR ROLE:
* All candidates in consideration must take and pass an assessment, scoring highly in the Data Entry, Learning Potential, and Thoroughness sections.
* The assessment will take 45 - 70 minutes, so plan accordingly
* Ask your recruiter point of contact for key tips to prepare and pass the assessment
IMPORTANT TO NOTE:
* This is one of the top hospital systems and healthcare employers in the US, so this is an excellent opportunity to build transferrable skills and build a resume.
* No flexibility on the start date 7/8/24 or sooner. There will not be a later start date.
* There is NO TIME OFF allowed in the first 90 days and during the holidays!! This is very important, as the individual will be terminated if they're taking off time from work.
* There will be 2 - 4 weeks where this individual will only work 20 hours per week before open enrollment starts. There will be opportunity for overtime after that
* The Anticipated end date for this role is roughly 01/31/2024 - some possibility of extension/conversion, but no guarantee.
PAY:
The pay rate for the Service Center Representative (Medicaid & Charitable Health Coverage) will be $24.50/hr (no flexibility)
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to
HR@insightglobal.com.
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https://insightglobal.com/workforce-privacy-policy/ .
* Minimum of 2+ years' experience in accounting, finance or related field preferred - heavy data entry
* Proficiency in math, data entry, typing, spelling and grammar, for which tests are required
* Computer access and literacy - ability to navigate multiple screens/websites at any given time
* High School Diploma or equivalent
* ASSESSMENT: Overall passing and high scores in Data Entry, Thoroughness, and Learning Potential sections
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.