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University of Nebraska Medical Center- Munroe-Meyer Institute

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Customer Service Representative I, Geisinger Health Plan / Claims (work from home Pennsylvania resident)
Job SummaryAssists in resolving customer concerns, providing appropriate education/instruction and maintaining customer satisfaction by providing the highest level of customer service. Actively participates in cross training, improving processes within the Customer Service team.Job DutiesResolves and reconciles enrollment reports and all related eligibility issues by following policy and procedure as well as any state legislated coverage and eligibility guidelines.Initiates communication and literature to the newly enrolled Health Plan member, dependents and employer groups.Interprets and appropriately applies rules and regulations in contractual agreements and with employer groups and vendors.Performs membership data extract reports


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