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Job Field: Office Jobs
Location: Vermont

KEY REQUIREMENTS:

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Job Duties: 1. Communicates with members (via phone, email or written correspondence) to elicit information, correct errors and investigate questionable data. Phones members, healthcare providers, health insurance carriers regarding transactions that are in ineligible status. Prepares written correspondence to members regarding denied transactions via form letters or email. 2. Authorizes approval of valid card charges, notifies claimant of denied transactions or outstanding transactions and appeal rights. 3. Reviews members health information from health carrier websites or from data feeds sent by the health carriers. 4. Pays claims to members or providers from health carrier data feeds. 5. Applies refund reimbursements to accounts and transfers funds from accounts and plan years.