Title : Office Support Clerk, Sr. Reports to : Executive, Client Services

Bargaining Unit : UFCW 555 Grade : 2

Position Type : Non-exempt Hours per Week : 40

Position Summary :

Provides exceptional customer service to members and providers regarding routine to moderately complex billing and eligibility issues.

Creates and maintains accurate enrollment, billing and eligibility records for administration of Plan benefits; reconciles and troubleshoots moderately complex issues.

Position works within plan guidelines and applicable regulations such as Taft Hartley, ERISA, HIPAA, etc. Accomplishes work independently with minimal supervision.

General Duties :

Provide customer service (telephone, electronic and in-person) for billing and eligibility to providers, members and employers;

maintain positive client relationships.

• Prepare and process incoming / outgoing contribution reports; review for completeness and accuracy; correct discrepancies.
• Prepare termination letters, COBRA and self-pay correspondence, and HIPAA notices.
• Process COBRA payments, refund requests, disability waivers and cash receipts.
• Identify, request and follow up on necessary dependent documentation (i.e. marriage licenses, birth records, domestic partner information, etc.).
• Provide eligibility updates to outside insurance carriers.
• Update participant and dependent information in the system; perform other general data entry and clerical tasks.
• Receive and process new employer contracts.
• Consistently meet established performance standards.
• Occasional work outside of normal work hours (i.e. weekends / extended hours) based on business needs.
• Perform special projects as requested by management.
• Perform other related duties and special projects as assigned.

Minimum Qualifications :

• Possess a strong work ethic and the ability to work effectively in a team environment;
• Highly developed sense of integrity and commitment to customer satisfaction;
• High school diploma or general education degree (GED);
• Minimum 1 year of related experience;
• Ability to type 45 WPM and use a 10-key; proficient PC skills, including MS Word and Excel;
• Strong math skills including the ability to calculate figures and amounts such as discounts, interest, proportions, and percentages;
• Solid organization skills with strong detail orientation / high degree of accuracy;
• Strong research, analytical and problem-solving skills;
• Ability to communicate clearly and professionally, both verbally and in writing;
• Ability to effectively present information in one-on-one situations to customers, clients and other employees;
• Ability to follow standard operating procedures;
• Able to maintain excellent attendance and punctuality;
• Read and interpret documents and write routine reports and correspondence.

Zenith American Solutions

Real People. Real Solutions. National Reach. Local Expertise.

We are currently looking for a dedicated, energetic Office Support Clerk, Sr with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.

Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide.

The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011.

By combining resources, best practices and scale, the new organization is even stronger and better than before.

We believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect.

If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American!

Job Posted by ApplicantPro

Last updated : 2024-05-17