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Anthem, Inc. Employer Service Rep or Employer Service Rep Sr in Mason, Ohio

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Employer Service Rep or Rep Sr.

Location: Remote opportunity within 50 miles of an Anthem office

This position is posted as a job family and the selected candidate will be placed into the job level commensurate with their experience

Responsible for providing operational support and expertise, as well as single point of service support (e.g., calls and claims) to key provider contacts.

Primary duties may include, but are not limited to:

  • Services provider contacts with timely and effective response to provider service-related concerns and issues.

  • Keeps operational teams appraised of client changes, culture, benefit intent, etc. Keeps account appraised of service-related trends and issues, handles escalations and provides overall support to key provider service-related issues and needs.

  • Talks with providers, some complex, by phone or in person to ensure the best service possible. Answers provider inquiries regarding health plan or service issues.

  • Responds to customer issues and investigates and resolves errors.

  • Coordinates complaint resolution concerning billing or services rendered with appropriate department(s).

  • Coordinates provider service needs with other departments as required to ensure provider service and satisfaction.

  • Monitors inventory to ensure workflow remains uninterrupted.

  • Handles complex case research and resolution.

  • Reviews department policy and procedure manuals for accuracy.

  • Works with training department to ensure procedures and policies are accurate and complete.

Qualifications

Preferred Experience:

  • New York Claims Experience (CS90, WGS)

  • Provider call-center experience

  • Claims processing experience

Employer Service Rep:

Requires a HS diploma or equivalent; 5 years related claims/customer service experience; or any combination of education and experience, which would provide an equivalent background. Associate degree preferred. Travel required.

Employer Service Rep Sr.:

Requires a HS diploma or equivalent; 2-3 years of Employer Service Rep experience and 5 years of related claims/customer service experience; or any combination of education and experience, which would provide an equivalent background. Associate degree preferred. Travel required.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

REQNUMBER: PS41469-2122

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