Benefits Specialist- Customer Service Representative

90 Degree Benefits is a health benefits company with a mission: to help employers Make the Right Turn™ for their business through strategically crafted benefit offerings. With every business being unique, no path to success looks the same. 90 Degree Benefits designs health plans and administers benefits that meet each employer’s unique health and operational needs, both now and for the road ahead.

We are seeking a Customer Service Representative to provide excellent customer service care to 90 Degree Benefits clients and customers related to medical, flex, dental, vision, and ancillary benefit inquiries. The Customer Service Representative will answer claim questions, benefit questions, and provide processing explanations via telephone, email, and correspondence for both providers (doctors and hospitals) and members.

The ideal candidate for this position enjoys phone interaction and solving problems. To be successful in this role you will need to be a good listener, empathetic, organized and courteous.

Essential Functions:

• Respond to and provide a high level of consumer education to members and customers regarding inquiries on eligibility, benefits and claim status with a high level of accuracy
• Maintain established service levels with respect to occupancy/ availability time, first call resolution, and production on a consistent basis, without sacrificing quality
• Educate consumers and providers on the use of electronic portal solutions and websites for direct access to benefit questions, claim status, etc
• Make outbound calls on the member’s behalf to various Providers or other entities in order to help coordinate care or resolve claim/ benefit questions
• Utilizes appropriate tools and resources to answer and document all customer inquiries
• Escalates more advance problems or inquiries to team lead or manager, as appropriate
• Identifies and makes recommendations on process improvement opportunities
• Works and supports the team environment in order to meet both individual and team objectives
• Maintains prompt and regular attendance
• Other tasks as assigned

Qualifications

• Minimum 1 -2 years’ experience in the health care field, preferably in call center setting
• Knowledge of medical terminology and coding rules.
• Excellent written and verbal communication skills in both English and Spanish
• Basic computer skills, including knowledge of MS Office products.
• Highly organized and detail oriented.

Education

High School Diploma/GED

Physical Requirements:

While performing this job, the employee is frequently required to sit, talk, and hear. The employee may occasionally lift and/ or move up to 30 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

The work is primarily in an office setting. The noise level in the work environment is moderate.

The duties listed above are intended only as an illustration of duties, and not an all inclusive list. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or logical to the position.

Benefits:

90 Degree Benefits Company- San Antonio's objective is to provide a range of employee benefits that will effectively protect the health of our employees and their families, contribute to their financial security, promote their on-the-job productivity, and increase their identification with and loyalty to 90 Degree Benefits Company- San Antonio.

- Medical/Dental/Vision and Life insurance

- 401(k) Retirement

- Generous Paid time off

-Eleven (11) paid holidays.

Disclaimer

The above statements are intended to describe the general nature and level of the work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of responsibilities, duties and skills required of personnel so classified. All personnel maybe required to perform duties outside their normal scope of responsibilities from time to time, as needed. The existence of this job description, or any other job description, does not in any way negate “at will “employment status.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Education:

• High school or equivalent (Required)

Experience:

• Medical terminology and Coding rules: 2 years (Required)
• Customer Service in Call center: 2 years (Preferred)
• Customer service in a health care field: 2 years (Required)

Location:

• San Antonio, TX 78230 (Required)

Work Location: In person