What are the responsibilities and job description for the Customer Service Coordinator position at The Health Plan (THP)?
The Customer Service Coordinator position is responsible for assisting the Manager and Director with daily operational activities relating to the call center, which may include: claims payment issues, call monitoring, and provide team with guidance and support.
Required
The Health Plan is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. The Health Plan strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. The Health Plan employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
8:00am - 5:00pm
40 hrs.
Required
- High School graduate or equivalent:
- Three years of call center experience.
- Self-starter and works independently.
- Detail oriented with good problem solving skills.
- Ability to prioritize and meet deadlines.
- Consistently displays a positive attitude.
- Excellent communication skills.
- Easily adapts to changes in work requirements.
- Knowledge of company software and equipment.
- Associates degree or 4-5 years call center experience.
- Knowledge of CPT and ICD 10 Coding.
- Knowledge of medical terminology.
- Knowledge of member benefits and health insurance concepts.
- Must have knowledge of hospital and physician claims.
- Maintains a positive, caring work relationship with others.
- Assess issues and problem solves at root cause level and assists CSR with difficult situations.
- Assist Manager with monitoring and auditing CSR calls.
- Responds to written correspondence in a timely, professional and friendly manner.
- Ability to prioritize multiple tasks.
- Records and communicates all information clearly and accurately.
- Maintains monthly monitoring score of 90% accuracy or above on the 17 points of excellence.
- Demonstrates a complete understanding of departmental policies and procedures.
- Ability to perform tasks without supervision.
- Meets requirements on annual performance evaluation.
- Documents calls according to departmental guideline.
- Assist with training and maintaining/updating shared training documents.
The Health Plan is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. The Health Plan strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. The Health Plan employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
8:00am - 5:00pm
40 hrs.