Employer Service Support

Job Description

Job Description

The ESS is responsible for managing document queues to complete member reimbursement requests, provider pricing verification requests, network pricing appeals, and member balance bills. The ESS will also prepare pricing appeal response letters and other written correspondence sent via email or postal service including certified mail when needed. The ESS is responsible for timely completion of requests from the operations team.

Required :

• High School graduate or equivalent.
• Detail oriented and good critical thinking skills.
• Superb organizational skills.
• Able to communicate clearly and accurately with members, coworkers and management.
• Ability to prioritize and meet deadlines.
• Work efficiently in a fast-paced environment.
• Proficient in computer skills including Microsoft Office programs (Word, Excel, Office).

Desired :

Responsibilities :

Equal Opportunity Employer

The Health Plan is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. The Health Plan strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. The Health Plan employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

8 : 00am-4 : 30pm

40