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. **All positions will be onsite at our Albany Campus located at 80 Wolf Road, Albany, NY 12205** Work Shifts
- Monday through Friday, 10 am to 6 pm (35-hour work week)
Training
- Must be available to attend 8-week paid training program, Monday through Friday, 10 am - 6 pm
Compensation and Benefits
- Hourly Pay Rate is $23.30
- We offer competitive health and wellness benefits
Please review the position description below:
- 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.
- Review inquiries, correspondence and email receipts. Prepare email resolutions, letters (form or narrative letter) and/or claims payment process adjustments.
- Perform written and verbal duties of the position to meet company goals for production and accuracy.
- Perform related claims approving and clerical work as assigned.
- Perform other duties as assigned or required.
- Regular attendance is an essential function of the job.
Qualifications:
- 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
- Ability to detect and relate problem service issues to management
- Ability to speak well on the telephone and maintain a positive telephone personality
- Must be able to compose clear concise letters
- If designated, sort and screen correspondence receipts and resolve via coding of additional payment, possibly including salvage and/or completion by letter
- Typing and PC skills
- Ability to adapt to change and address multiple issues simultaneously
- Good organizational skills
- Must be available for training
Education and Experience:
- A minimum of two (2) years' experience in customer service; one year must be in a call center setting
- A college degree is preferred
- Health insurance experience is a plus
Additional Information
- Requisition ID: 2500C
- Hiring Range: $23.30 per hour
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EmblemHealth
Mar 14, 2025