Independent Health is where its at … (If anyone wants to talk about the past week in the news about the 130ish people that got let go here PM me dont talk about it in here)
Customer Service Representative, Tier I Category: Customer Service Type: Full-Time Description: The Customer Service representative (CSR) is a customer service professional who displays confidence, a passion for service, and practices empathetic listening towards all Independent Health customers (members and providers). The CSR functions as an advocate for customers and resolves all inquiries (i.e. phone, mail, fax and email.) The CSR will utilize system tools and resources to address and resolve inquiries; provide benefit clarification and eligibility; communicate basic claim and reimbursement information, facilitate proper utilization of policies and procedures, coordinate resolution to streamline processes; make demographic changes; and educate customers on regulatory policies and procedures.
The position requires a complete working knowledge of specific lines of business and riders with the ability to correctly interpret plan contracts. Must understand claims and authorization processes.[FONT=Verdana]At Independent Health it’s about pride, passion, and most of all, dedication to making a positive difference in the health of people in our community. It’s a challenging and satisfying work environment for the right person. If you are interested in working in a rapidly changing environment, Independent Health may have a career opportunity for you.
[/FONT]Requirements:
- Bachelor’s degree in business-related field w/experience in member or provider focused environment or Associates degree w/two (2) years experience in a member/provider focused environment or High school diploma/GED w/four years experience in a member/provider focused environment may be accepted in lieu of degree requirement.
- The Customer Service Representative, Tier I will be required to have a basic expertise of all commercial products. Ability to process all event types for members related to that product set and completed the sign-off process successfully.
- Minimum of 2 years medical billing preferred; extensive medical office, provider relations and /or claims experience may be considered in lieu of medical billing experience.
- Knowledge of CPT codes, ICD-9 coding and medical terminology preferred.
- Demonstrated ability to effectively communicate with internal and external customers. Excellent written/verbal communication skills, excellent customer service skills.
- Experience handling high volume inbound and outbound phone calls preferred.
- Demonstrated ability to listen with intent to understand.
- Demonstrated proficiency to verbally translate written communication.
- Demonstrated proficiency in problem solving and proven ability to prioritize accordingly.
- PC and Windows experience with proficient typing skills and ability to utilize multiple system tools [FONT=Verdana][FONT=Verdana]simultaneously[/FONT]. Typing 35-40 words a minute required.
- Strong organizational/time management skills.
- Ability to assume responsibility and maintain confidentiality. Strong sense of accountability is required. Must be able to work collaboratively. Flexibility to work additional hours as required by department. Flexibility in shift assignment required.
- Understands the importance of maintaining the physical and technical security and privacy of protected health information (PHI).
- Maintains confidentiality and uses only the minimum amount of protected health information (PHI) necessary to accomplish job related responsibilities.
- Ability to demonstrate Independent Health’s core values which include being Passionate, Caring, Respectful, Collaborative and Accountable
Employees of Independent Health receive: competitive salaries, health insurance, life insurance, vacation and sick leave benefits, personal time and holiday pay, pension and 401(K) plans, tuition reimbursement and flexible spending accounts.
[/FONT][quote]
Our Customer Service department is actively looking for full-time Customer Service Representatives, Tier 1. We are asking for your help in referring the best qualified candidates.
The Customer Service Representative job description is attached with this e-mail and includes the necessary competencies for this position.
Please read the following for more information regarding the position.
[SIZE=2]IMPORTANT INFORMATION:[/SIZE]
-Pay rate for this position is $12.60/hour.
-Approximately 14 positions available at this time.
-Start date for this new hire classes is scheduled for mid September 2009.
-Positions are available on a full-time basis only.
-Training for this position is approximately 5 - 7 weeks.
-Position requires flexibility to work from 8 AM to 8 PM, Monday-Friday.
-No weekends or holidays.
[SIZE=2]STEPS FOR APPLYING:[/SIZE]
-Please be advised we CANNOT accept hard copy or e-mailed resumes
-All applicants MUST apply online through the Independent Health website - [SIZE=1]www.independenthealth.com[/SIZE][SIZE=1]
-Candidates will find all open positions under the Careers section (found under Useful Links)
-Candidates can create an account, using our new online tool, and upload his or her resume which will then be sent directly to the Talent Management Specialist for consideration.
-When completing the online application, the candidate will be asked “How did you hear about us?” and the drop down menu will give the option of selecting “Employee Referral”.
-There is also a section that allows candidates to enter the name of the person referring them. *IMPORTANT: Please make sure that if you are referring someone that he or she completes this section.
-Due to the high volume of referrals we CANNOT accept phone calls regarding the status of a referral.</b>
Claims Adjudicator
Category: Office and Clerical
Type: Full-Time
Description: The claims adjudicator shall be responsible for adjudicating claims against established criteria and address incoming inquires to ensure that all claims are paid in support of established rules, regulations, performance guarantees and department targets.
Requirements:
High school education or GED equivalent, medical office assistant certificate/degree preferred.
A minimum of one year medical billing, clinical or claims experience required.
Knowledge of medical billing procedures; CPT and ICD-9 coding and medical terminology knowledge required.
PC and Windows and/or Excel skills required.
Analytical skills for review of health care delivery against established criteria.
Understands the importance of maintaining the physical and technical security and privacy of protected health information (PHI).
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more added 072709
I want to bump this up
all people that were let go 2 weeks ago all there jobs have been posted …there is something for everyone
Manager, Facilities
Facilities Technician
MRM Service Representative
Health Coach/Disease Manager
Group Data Specialist
Servicing Support Representative
Manager, Enterprise Risk Management
Internal Auditor Intermediate
Government Affairs Specialist
Claims Adjudicator
Coordination of Benefits Assistant
Claims Adjudicator
Customer Service Representative, Tier I
Independent Health Redshirt
Project Coordinator
Account Manager-Small Group Market
Manager, Membership Operations Business Systems & Support
Integration Engineer
Proposal Coordinator
Learning Center Intern
Project Manager, Sales Administration
Grant Developer
Assistant Director, Case Management
Director, Actuarial Services
VP Clinical Business Informatics
more posted last night -072809
PBM Account Executive
Case Manager - Part Time
Pharmacy Data Analyst
Administrative Assistant
Account Service Representative
Administrative Assistant
I will post any job requirements or description if asked
If one of you assholes want to apply let me know I can give you the info needed for the referral… (no I dont make any money on it)