NEW JOB OPENING
SERVICE CENTER REPRESENTATIVE
IN San Diego, CA, USA!

Job details:

• Processing new enrollment in Medicare.

• Outbound calls to members only if something is not clear on application. No Inbound calls

• Call center (Bonus), billing background, insurance work, accounting – Tend to do better

• Recent college grads – Manager is open to consider – Without too much work experience



Attendance: Attendance/tardiness has been a big issues with this last class.

• No time off during training (8 weeks from start date).

• No time off during holidays (federal holiday exception).

• If time off needed during the first three months of assignment, the candidate is not going to be a good fit.

• Minimum of 2 years of experience in accounting, finance or related field preferred

• Proficiency in math, data entry, typing, spelling and grammar, for which tests are required

• Demonstrated ability to work in a team-based environment

• Successful customer service track record

• Ability to diagnose, analyze and solve a variety of quantitative and qualitative problems

• Ability to communicate clearly and professionally

• Computer experience preferably in a PC windows based environment

• Willing to learn new tasks and adapt to new business requirements

• Excellent conflict resolution and decision making capabilities

• Ability to work productively at multiple tasks

• Ability to adapt to change and be flexible in shifting priorities



Additional Job Details

• There will be a test after 6-8 weeks of AAR training to ensure that the contractors retained the knowledge. They must pass the test to continue working the assignment.

• Description:

• The overall objective of this position is to perform the account maintenance, billing, reconciliation, reporting and/or customer service related activities. Duties could include one or more of the following: performing database maintenance and research tasks to support the contracts administration, cash control operations and assignment of medical record numbers, to generate and distribute contracts and member I.D. cards, to provide facilities support and to enter documents into the workflow imaging system.



Accountabilities:

• Identifying, researching and reconciling billing payments amounts to ensure accurate eligibility determination, payment, revenue and membership records

• Setting up and maintaining member data including but not limited to processing enrollments, corrections, retroactivity adjustments and terminations

• Supporting eligibility inquiries

• Ensuring bills are correct and mailed timely

• Interacting with purchaser benefit administrators to answer questions and explain Health Plan policy and contractual provisions related to membership and billing. Resolving related problems

• Assisting Health Plan purchaser contacts and sales and service representatives in the sales process and the analysis and resolution of problems related to membership accounting

• Resolving payment discrepancies and delinquencies

• Identifying, coding, batching, scanning and indexing documents for imaging

• Providing office services support including but not limited to picking up, sorting and delivering mail, filing and retrieving documents, ordering and distributing office supplies, performing miscellaneous facilities maintenance tasks and providing photocopying and copier maintenance

• Working with internal and external customers and vendors to resolve any issues related to support services activities

• Collecting and monitoring productivity and customer service quality measures

• Participating team-based projects and contributing to customer service and operations improvements initiatives

• Assisting with training as required

• Facilitating communications across all lines of business and with other Client departments

• Participating in purchasers performance evaluations and performance target setting activities

• Perform other duties as they are assigned



Education: High School Diploma

• **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

• **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**