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Member Services Rep - Escondido

Company: Arch Health Partners Inc
Location: Escondido
Posted on: November 14, 2021

Job Description:

Palomar Health Medical Group is looking for talented, compassionate, and qualified individuals to join us in our mission to provide quality medical care and promote health and wellness in the communities we serve! We are a multi-specialty, not-for-profit medical group, formed in 2019 by the affiliation of two of North San Diego County's largest multi-specialty groups, Graybill Medical Group and Arch Health Medical Group. Through a combined 170 physicians and advanced practitioners and 22 locations in North San Diego and South Riverside Counties, we are able to provide comprehensive medical care to meet every family members needs, including Urgent, Primary, and Specialty Care. We are affiliated with the Palomar Healthcare District.We currently have a great opportunity for a Member Services Rep at our Graybill Office in Escondido.Member Service will provide support to the Case Management Department. Some of the responsibilities include, but are not limited to, verification of eligibility, faxing and mail handling, filing and chart maintenance. Assist in producing the census report, processing of referrals (minimum of 540/mo) and denials, letters, claims, tracking information, and handling telephone calls with patients and provider relation issues via an ACD line majority of the day. Member Services will maintain a high level of customer service to HMO members, other staff, specialists and all providers. Specific tasks may be assigned in order to assure expertise in the various support areas: however, all member services personnel will be cross-trained to assure consistency in service.A qualified candidate will meet the following requirements:

  • High School diploma or GED
  • At least (1) year of experience in a customer service position, preferably in a medical practice setting.
  • Working knowledge of contracted insurances, patient benefits, and third party requirements preferred.
  • Excellent verbal, written and interpersonal communication skills.
  • Proficient computer software skills in MS Word, Excel, Outlook, and some Publisher.
  • Excellent organization and time management skills.
  • Experience with medical practice protocols related to scheduling appointments.
  • Ability to multitask effectively, dealing with phone calls, in-office patients, staff, and others pleasantly.
  • Ability to communicate calmly and clearly with patients about appointments in all circumstances including when they are ill or have an emergency.Palomar Health Medical Group offers a comprehensive benefits program that includes:
    • Medical, Dental and Vision insurance
    • Company -paid Basic Term Life and Long-term Disability insurance
    • Medical Flexible Spending Account
    • Dependent Care Assistance
    • 401(k) with company match up to 4%
    • PTO (Paid Time Off)
    • Paid holidays
    • Pet insurance
    • Gym discounts
    • Plus much more!Palomar Health Medical Group maintains a drug-free workplace and smoke free working environment. Employees are required to successfully pass a pre-employment drug screen. Palomar Health Medical Group is an Equal Opportunity Employer and values diversity in the workplace.

Keywords: Arch Health Partners Inc, Escondido , Member Services Rep - Escondido, Sales , Escondido, California

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