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Req. No

3588

Job Title

Member Services Rep

Market

CHRISTUS System Office

Category

General Operations

Facility

CHRISTUS Corp Health Plan 919 and 909 Buildings

Address

919 Hidden Ridge
Irving, TX  75038
US

Type

FULL TIME

Apply Now Member Services Rep Job in Irving

Summary:

The Member Services Representative answers all incoming calls from sponsors, members, and providers, researches claim status, and assists in bringing resolution to claim problems. This position is also responsible for the maintenance of member files.

  • Answer incoming calls from members and providers and establishing/maintaining good rapport
  • Provide information concerning eligibility and benefit verification to callers
  • Provide information to callers concerning claims questions, research as necessary to assist in resolving issues of claims reimbursement
  • Document accurate information concerning calls into computer system
  • Maintain member files
  • Maintain current member demographic information, processing address changes in a timely manner
  • Perform call backs to members and providers within contractually agreed upon time frame
  • Collaborate with all other departments as appropriate and required to facilitate the completion of tasks/goals
  • Follows the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability ACT (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)

Requirements:

  • High school diploma or GED equivalency
  • Minimum of one year experience in related field
  • Good typing skills
  • Operating knowledge of computers
  • Good telephonic skills in order to present information in an accurate and positive manner
  • Ability to function independently

Work Type: 

Full Time


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