Customer Service Representative I - Enrollment, Geisinger Health Plan (Eastern Standard Time Zone resident)
G
Geisinger
📍 Danville, PA, United States
Job Description
Job Summary
Assists in resolving customer concerns, providing appropriate education/instruction and maintaining customer satisfaction by providing the highest level of customer service for enrollment. Actively participates in cross training, improving processes within the Customer Service team.
Job Duties
+ Resolves and reconciles enrollment reports and all related eligibility issues by following policy and procedure as well as any state legislated coverage and eligibility guidelines.
+ Initiates communication and literature to the newly enrolled Health Plan member, dependents and employer groups.
+ Interprets and appropriately applies rules and regulations in contractual agreements and with employer groups and vendors.
+ Performs membership data extract reports and supplies them to employer groups as an audit tool for accuracy and compliance with performance risk guarantee commitments.
+ Updates, approves and interprets me...
Assists in resolving customer concerns, providing appropriate education/instruction and maintaining customer satisfaction by providing the highest level of customer service for enrollment. Actively participates in cross training, improving processes within the Customer Service team.
Job Duties
+ Resolves and reconciles enrollment reports and all related eligibility issues by following policy and procedure as well as any state legislated coverage and eligibility guidelines.
+ Initiates communication and literature to the newly enrolled Health Plan member, dependents and employer groups.
+ Interprets and appropriately applies rules and regulations in contractual agreements and with employer groups and vendors.
+ Performs membership data extract reports and supplies them to employer groups as an audit tool for accuracy and compliance with performance risk guarantee commitments.
+ Updates, approves and interprets me...