Responsible for assisting the Customer Service Team Leader by providing direct back-up support to the Customer Service Teams in the areas of claims, membership and member services.
Excellent communication, problem solving, and customer-service skills within a team atmosphere. Demonstrates excellent organization and time management skills and ability to work independently. Demonstrates ability to work with and manage multiple data sets. Demonstrates good verbal and written skills and ability to work with all levels of Health Plan personnel.
Performs duties to meet or exceed the Customer Service Team performance standards that are designed to provide quality customer service and member satisfaction and meet applicable regulatory requirements.
Works closely with Team Leaders to investigate and resolve Customer Service operational issues. Works on special projects under the direction of the Team Leaders.
Travel/special assignments at other locations as needed.
COMPETENCIES AND SKILLS:
Demonstrates competence in written, oral and electronic communication skills, including creation and maintenance of spreadsheets.
Demonstrates the ability to be flexible to change.
Demonstrates the ability to be a team player.
Demonstrates strong keyboarding skills.
Demonstrates competence in maintaining department standards in a fast paced office environment.
Demonstrates ability to be detail oriented.
Demonstrates ability to multitask and function under pressure to ensure Health Plan goals are met.
Demonstrates working knowledge of the claims functionality and membership or member/provider services.
Demonstrates the ability to work independently and in a team environment.
Demonstrates project management skills.
The specific statements shown above are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job
EDUCATION AND/OR EXPERIENCE:
Minimum two to three years experience as a Customer Service Representative II or equivalent health plan customer service experience in claims functionality and membership or member/provider services required.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Work is typically performed in an office environment.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
GEISINGER HEALTH PLAN (GHP) is the health insurance component of Geisinger and serves over 460,000 members in Pennsylvania and West Virginia. Begun in 1985, GHP provides high quality, affordable health-care benefits for businesses of all sizes, individuals and families, and Medicare beneficiaries.
About Geisinger: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.