<p>Company Information: EmblemHealth is a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions. As one of the nation's largest not-for-profit health insurers, we serve more than three million people in the New York tristate area.</p> <p>All positions will be onsite at our Albany Campus located at 80 Wolf Road, Albany, NY 12205</p> <p>Work Shifts</p> <ul> <li>Monday through Friday, 10 am to 6 pm (35-hour work week) </li></ul> <p>Training</p> <ul> <li>Must be available to attend 8-week paid training program, Monday through Friday, 10 am - 6 pm </li></ul> <p>Compensation and Benefits</p> <ul> <li>Hourly Pay Rate is $23.30 </li><li>We offer competitive health and wellness benefits </li></ul> <p>Please review the position description below:</p> <ul> <li>Receive, answer and/or record telephone/correspondence/e-mail inquiries from subscribers, providers, and other consumers relating to areas of coverage, payment of claims, membership status, medical management intake calls, etc., under the various EmblemHealth medical/surgical, dental, hospital and Medicare plans. </li><li>Review inquiries, correspondence and email receipts. Prepare email resolutions, letters (form or narrative letter) and/or claims payment process adjustments. </li><li>Perform written and verbal duties of the position to meet company goals for production and accuracy. </li><li>Perform related claims approving and clerical work as assigned. </li><li>Perform other duties as assigned or required. </li><li>Regular attendance is an essential function of the job. </li></ul> <p>Qualifications:</p> <ul> <li>Must be able to work under pressure, handle stressful situations effectively and deal politely with subscribers and providers on the telephone, in person, and email/correspondence </li><li>Ability to detect and relate problem service issues to management </li><li>Ability to speak well on the telephone and maintain a positive telephone personality </li><li>Must be able to compose clear concise letters </li><li>If designated, sort and screen correspondence receipts and resolve via coding of additional payment, possibly including salvage and/or completion by letter </li><li>Typing and PC skills </li><li>Ability to adapt to change and address multiple issues simultaneously </li><li>Good organizational skills </li><li>Must be available for training </li></ul> <p>Education and Experience:</p> <ul> <li>A minimum of two (2) years' experience in customer service; one year must be in a call center setting </li><li>A college degree is preferred </li><li>Health insurance experience is a plus </li></ul> <p>Additional Information</p> <ul> <li>Requisition ID: 2500C </li><li>Hiring Range: $23.30 per hour </li></ul>