Seasonal Opportunity (Potential for Temp to Perm)
Non-Sales Position and Paid Training
Convey Health Solutions manages a myriad of administrative needs to make it easier for health plans to operate and provide valuable experiences for their members. How so? We focus on building specific technologies and services that uniquely meet the needs of government-sponsored health plans.
As a Universal Licensed Agent you have the opportunity to provide premier support of all incoming enrollment, disenrollment, and member services requests from customers interested in Medicare Prescription Benefit Plans (Part D). No cold calling!! In addition, you will be a part of a team that transforms customer service into Customer Care by delivering an amazing experience.
Primary Responsibilities:
• Ensure proper processing of incoming, enrollment/disenrollment requests and all other member correspondence as it pertains to CHS/CMS compliance; proactively communicate findings.
• Assist beneficiaries with a wide range of critical services, which include but not limited to updating account information, providing plan information, resolving issues with utilization of the plan
• Research premium billing discrepancies and prescription claims processed
• Submit mail requests for beneficiaries such as ID cards and formularies
• Look up medicines on the formulary to verify if they are covered, the tier and copay level, and if a drug is not covered, provide an explanation
• Ensure applicable CMS Exhibits are being mailed per CMS Guidance
• Ensure HIPAA regulations are maintained within the immediate environment
• Responsible for maintaining a high level of call quality as set by client standards
Qualifications:
• Associate Degree preferably in the Healthcare field preferred
• Insurance license # 215, 240 / Heath license or Health & Life License
• Strong communication and active listening skills
• Strong technical skills and ability to use various computer platforms along with Microsoft Office (Excel, word, and Outlook)
• Excellent oral and written communication skills
Come join a great team!! Apply on Line at www.conveyhealthsolutions.com/careers
Respond to this ad:
CONVEY HEALTH SOLUTIONS
TONI ORTIZ
AORTIZ3@CONVEYHS.COM