Job Description

Job Description

Job Description

Consociate Health, a leading Third-Party Administrator, offers an opportunity to grow and develop your career in an environment that provides a fulfilling workplace for employees, and creates continuous learning and embraces the ideas and diversity of others.

As part of our Mission to make Healthcare more accessible and affordable for our clients through innovation solutions and expert consultation, we value the inherent qualities that are foremost in our Mission, Vision, Values- Compassion, Humility and Impact, which allow us all to create authentic relationships with our team and our clients.

Position Summary:

The Communication Specialist reports to the Communications Team Lead within the Client Services Division. This position provides support for the communication and operations departments.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Open and sort incoming mail.
• Retrieve, note, and forward faxes.
• Maintain report logs for Consociate Operations.
• Reprice claims.
• Process repricing appeals.
• Process authorizations
• Scan mail into an electronic mailbox
• Move mail daily within the electronic mailbox
• Scan claims to EDI vendor.
• Process scanning errors.
• Process provider maintenance.
• Outbound Itemized Bill Process
• Print and mail Administrative Services and Daily Correspondence
• Coordinate and assist with special projects.
• Provide back-up assistance for others within the Communications Department.
• Perform other duties as assigned.

GENERAL EXPECTATIONS:

• Present a positive image of Consociate at all times.
• Provide and promote the delivery of services with a prevailing attitude of respect and recognition of the personal worth and dignity of every individual whether they are a client, co-worker or supervisor.
• Communicate in a clear and concise manner, while also demonstrating receptivity through active listening.
• Actively listen to feedback and questions, allowing open discussions, taking time to understand and asking questions when appropriate
• Identify and perform work that has not been specifically assigned, as needed.
• Adhere to established safety standards and utilizes proper techniques to avoid work-related injuries.
• Continuously seek opportunities for improvement and suggest ways in which procedures/systems may be modified to accomplish tasks/goals efficiently and effectively.
• Demonstrate a teamwork philosophy by working cooperatively with others inside and outside the Client Services Division.
• Attend required in-service and staff meetings.
• Preserve the confidentiality of all business-sensitive information, including but not limited to that of insured groups and individuals, employees and applicants.

SERVICE EXPECTATIONS:

• Greet all people in a prompt and courteous manner. Communicate in a warm and courteous manner, making eye contact and speaking in a tone of voice that matches words.
• Ask customers what they need and strive to exceed their expectations. Offer and provide assistance whether or not the request falls within your specific job duties.
• Take appropriate steps to resolve problems to the client's satisfaction.
• Seek opportunities, provide value added services, and eliminate tasks that do not serve our client.
• Remain aware of products and services provided by Consociate.
• Project a positive, professional image when working.
• Coachable, quick learner who is comfortable with change

KNOWLEDGE, SKILLS AND ABILITY REQUIREMENTS:

• High School Education Required.
• Strong data entry skills; Comfortable working on a PC using Microsoft Office, Microsoft Teams, and telephones efficiently
• Trustworthy and accountable behavior, capable of viewing and maintaining confidential personal information daily.
• Willingness to routinely, reliably come to work on schedule and adjust shift/scheduling based on the needs of the organization (including occasional paid overtime)

PHYSICAL AND MENTAL ABILITIES:

• Ability to perform sedentary work for extended periods of time.
• Ability to utilize personal computer (manual dexterity is required to operate a keyboard), telephone system, and communicate with a variety of customers.
• The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects during the same period, and adapt to interruptions.

BENEFITS:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Paid training
• Vision insurance

Job Tags

Similar Jobs