Healthcare Insurance Representative

Full-time - Entry Level

Rockville, MD

10,001+ employees

Professional, Scientific, and Technical Services

About the position

The Healthcare Insurance Representative will provide exceptional service to participants, local unions, providers, vendors, and other customer service representatives through various communication channels. The role involves answering questions, guiding members through their insurance plans, and maintaining knowledge of plan provisions and eligibility systems. The representative will ensure empathetic and efficient service while managing complex issues in a positive manner.

Responsibilities

• Provide extraordinary service to participants, local unions, providers, and vendors via telephone, e-mail, and in-person communication.
• Answer questions and guide members through their insurance plans.
• Maintain a working knowledge of basic plan provisions and multiple benefit schedules.
• Understand the eligibility system, claim system, and the Reciprocity system (ERTS).
• Respond in a timely manner to operations leaders and stakeholders.

Requirements

• 1+ years of call center experience in a medical billing or medical insurance call center environment or 1+ years of processing medical claims.
• Bachelor's degree or equivalent experience required.
• Excellent written and verbal communication skills.
• Proficiency in MS Office is required.
• Must type 40 wpm.

Nice-to-haves

• Bilingual speaking candidates strongly preferred.
• Previous TPA or major insurance carrier experience strongly preferred.

Benefits

• Medical, dental & vision insurance
• Critical Illness, Accident, and Hospital insurance
• 401(k) Retirement Plan with pre-tax and Roth post-tax contributions
• Voluntary Life & AD&D insurance for the employee and dependents
• Short and long-term disability insurance
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Paid Time Off (PTO), Vacation or Sick Leave