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Customer Svcs. Lobby Specialist (Troy, MI) - Health Alliance Plan
$56k-73k (estimate)
Part Time 1 Week Ago
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Health Alliance Plan is Hiring a Customer Svcs. Lobby Specialist (Troy, MI) - Health Alliance Plan Near Troy, MI

This position requires in person attendance 8:30-5 Monday-Friday at the HAP corporate building in Troy, MI.General SummaryThis position has the following primary objectives with respect to customer relations for all HAP product lines: Provide follow-up and courteous and prompt resolution to member inquiries by conducting thorough investigations and fully educating members and customers; Accept all monies directly (in person) and indirectly (by mail) submitted by subscribers and groups. Accurately maintain Lobby funds through daily reconciliation of the Lobby fund balances. Support corporate and departmental goals, member enrollment activities and product implementations; Research, investigate and resolve service failures. Improve the customer experience by identifying root causes, trends and recommend resolutions for service recovery and retention; Educate members and prospective members to promote HAP as the health care coverage of choice.
Principal Duties And Responsibilities
  • Receive individual policy and group payments, ensure accuracy and deliver service excellence. Reconcile the daily cash fund balance and report accurately. Perform daily bank drops by preparing deposit slips, maintain deposit log and ensure deposits are properly secured and available for pickup by the courier.
  • Communicate promptly with management, Receivables Department and Bank personnel to resolve all issues related to deposits. Generate reports of financial activities, calculating input and output of the daily/monthly monies and calculate all reconciliations accurately.
  • Respond to inquiries by telephone, mail and in person; research and answer inquiries, complaints and appeals by following all department standards, policies and procedures; direct inquiries to supporting departments for appropriate action and resolution.
  • Educate existing and potential members on policies, procedures, product offerings, benefit plan and coverage provisions related to all HAP products.
  • Document all incoming inquiries accurately in order to track member inquiry history and trends.
  • Practice and maintain confidentiality to Privacy and HIPAA regulations. Proactively seek training and development to enhance skills and abilities.
  • Monitor workflow inbox and outstanding cases to ensure that all inquiries receive an appropriate response in a timely manner; Contact members (by phone/or in writing), as needed, to ensure timely resolution and follow-up to inquiry.
  • Interact with support departments in a professional manner to ensure member needs are met. Develop and maintain strong business relationships with inter-departments; Continue to self-educate on changes in policies and procedures that occur in other departments which could have an impact on department operations and the servicing of member/customers.
  • Attend training and development sessions or continuing education opportunities offered by Client Services and maintain enhanced skill levels and performance.
  • Interact with providers and their staff to obtain information for resolving customer inquiries/complaints.
  • Ensure and maintain compliance of all department and corporate standards, policies and procedures.
  • Recommend process improvements based on observations and trends identified while interacting with internal and external customers.
  • Coordinate and assist with various departmental projects, member enrollment periods, outreach activities and corporate initiatives.
  • Perform all duties and responsibilities of a Client Services Telephone Specialist as needed.
Education Required
  • Associate’s Degree in Business or related field required or minimum of 48 hours of college credits passed
  • Course in Medical Terminology (required completion within six months of post-employment)
Experience Required
  • Minimum of two (2) years of recent Customer Service or Call Center experience within the last three years.
  • Minimum of two (2) years of Banking or Cash handling experience including reconciliation and balance of all monies with accuracy.
  • Demonstrated experience operating a calculator efficiently.
  • Fundamental understanding of HMO/PPO/POS delivery system and claims billing.
  • Must be able to work flexible shifts, overtime including evenings and weekends as requested and/or scheduled.
Additional Information
  • Organization: HAP (Health Alliance Plan)
  • Department: Customer Service
  • Shift: Day Job
  • Union Code: Office/Non-Exempt, HAP

Job Summary

JOB TYPE

Part Time

SALARY

$56k-73k (estimate)

POST DATE

06/20/2024

EXPIRATION DATE

07/18/2024

WEBSITE

hap.org

HEADQUARTERS

WEST BLOOMFIELD, MI

SIZE

1,000 - 3,000

FOUNDED

1960

TYPE

NGO/NPO/NFP/Organization/Association

CEO

MARGARET KARCHO

REVENUE

$1B - $3B

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About Health Alliance Plan

HAP is a not-for-profit organization that provides medicare plans and wellness programs for individuals, families and employees.

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