Auditor Customer Service BCI at Brokerage Concepts in Blue Bell, Pennsylvania

Job Description:

Responsible for the monitoring and auditing of HNAS customer service rep's calls/intakes though the call recording system and live call listening. Works to ensure that all internal operating and administrative procedures are being followed during the call and accurate information is relayed to callers. Handle specialized request for call auditing from the customer service supervisors to ensure accurate information was relayed to the caller. Review, understand and adhere to all plan wording to manage all audits accurately and timely. Assist the customer service team with taking calls during backlog situations, which also will include, but not limited to recording an intake/inquiry, following up on resolution of the intake, responding back to the caller with the resolution and following all the procedures related to customer service calls. Reporting any system issues to the appropriate parties and working to help with the any specialize projects, such as system upgrade reviews.
Auto req ID
2797BR

Knowledge and Skills
Knowledge of CPT, HCPCS, ICD9 and IICD10 medical coding Strong attention to details along with organizational skills Excellent problem solving with the ability to work in a fast paced production environment Excellent communication skills both verbal and written PC navigation skills for Professional work environment Basic MS Excel Basic MS Word Ability to use judgement to make sound decisions referencing all available resources Ability to work independently and also as part of a team

Qualifications
Problem Solving Skills: Ability to research and seek assistance through all available resources to, ensure resolution on customer service audits. Must be able to multi-task and follow up at appropriate intervals. Raise concerns to the management team on situations and/or issues in a timely manner.

About Us
HealthNow Administrative Services (HNAS) is a wholly-owned subsidiary of HealthNow New York, Inc., a health insurance carrier headquartered in Buffalo, New York. With offices in Pennsylvania, New Jersey, Arizona and California, HNAS is a nationally recognized group benefit plan marketer and administrator. HNAS specializes in custom-designed employee benefit programs and Third Party Administration (TPA) and partner services, self-funded health insurance, and consumer driven health care plans as well as health management solutions. HNAS provides employee benefit solutions integrated with administrative and claims services. For more information, you can visit www.hnas.com. HealthNow Administrative Services (HNAS) is a wholly-owned subsidiary of HealthNow New York, Inc., a health insurance carrier headquartered in Buffalo, New York. With offices in Pennsylvania, New Jersey, Arizona and California, HNAS is a nationally recognized group benefit plan marketer and administrator. HNAS specializes in custom-designed employee benefit programs and Third Party Administration (TPA) and partner services, self-funded health insurance, and consumer driven health care plans as well as health management solutions. HNAS provides employee benefit solutions integrated with administrative and claims services. For more information, you can visit www.hnas.com.

Company
HealthNow Administrative Services

Job Category
Customer Service/Provider Services/Claims

Status
Full Time Regular

Experience
3 years prior customer service experience with HNAS and 5 years Customer Service experience in the Insurance Industry. Preferred: Associate Degree

EEO Statement
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

Hours
As Required

Education
Required Education:HS/GED (N/A)

Position Posting Location
Blue Bell

State
Pennsylvania