Care Crew Representative

Company: Friday Health Plans
Location: Alamosa
Posted on: May 11, 2022

Job Description:

Job DescriptionWho You AreYou are looking to start a career with an innovative, culture driven company. You are a caring, charismatic person who enjoys helping others. You have an innate ability to actively listen and resolve issues. You go beyond communicating, by connecting with people. You enjoy collaborating with others to trouble-shoot and find answers. You are a highly detailed, organized teammate who wants to be part of the Friday Health Plans family. Who We AreFriday Health Plans is not your average health insurance company. We are not about unnecessary extras and confusing terminology. We cover the basic health services you will likely use the most at a price that just might make your wallet happy. Our simple health plans and friendly service keep you covered so you are free to live every day like it's Friday.As a Denver-based startup company, we are looking for smart, talented people like you to join us. We value collaboration, innovation, passion, and calculated risk-taking. As we continue to grow rapidly, we're looking for people who lead by example, and that example is one of flexibility, reliability, and positivity. If this sounds like you, then we want you on our team.What We Are DoingOur Care Crew team provides top-notch customer service; responsible for responding to inquiries from members and providers regarding claim status, claim payments, eligibility/enrollment, plan benefits, and referrals by ensuring timely resolution. Some Specific Things You'll Work On

• Managing inquiries from members and providers regarding claim status, claim payments, eligibility/enrollment, plan benefits, billing, and referrals according to departmental procedures.
• Log all calls, voicemails and other inquiries received into Call Diary.
• Report consumer complaints/grievances and the resolution of complaints/grievances
• Monitor inquiries forwarded to other departments for timely resolutions of issues. Provide follow-up, as necessary.
• Participate in ongoing training and departmental staff meetings.
• Help IT issues regarding the Member Portal.
• Participate in cross training in other departments as needed.
• Assist the Billing Department by taking member premium payments.Who you are
  • You are professional.
  • You are detail oriented and highly organized.
  • You enjoy helping people. You have good communication skills and are personable, empathetic but can be firm in dealing with members and providers.
  • You can work in a fast-paced environment and you can work well under pressure.
  • You are a team player, and you have excellent interpersonal skills.
  • You are resourceful, researching and communicating with members, providers, and coworkers.
  • You enjoy learning and can interpret policies and proceduresOther preferred qualifications
    • High school diploma or GED required.
    • Basic Knowledge of computer and other office equipmentHow You'll Be Valued
      • Medical, Vision, and Dental premiums for you and your family covered at 100%
      • Company funded health savings account (HSA)
      • 401(k) and 401(k) matching
      • Company paid life insurance.
      • Company paid short- and long-term disability insurance.
      • Employee assistance program
      • Paid time off and 10 paid holidays
      • A company culture that is regularly recognized as a Top Workplace by organizations such as CoBiz and The Denver Post Friday Health Plans is a Top Workplace
      • Pay $31,200 - $35,000/yearPowered by JazzHRQ91miRqdH9

Keywords: Friday Health Plans, Pueblo , Care Crew Representative, Other , Alamosa, Colorado