




Job#: 2075011
Job Description:
Service Center Representative
Location: San Diego, CA (Remote, Must live within 2 hours of Mission Valley address.)
Qualified candidates should send their resumes to [email protected].
Role:
The overall objective of this position is to perform account maintenance, billing, reconciliation, reporting, and customer service-related activities. Duties could include one or more of the following: performing database maintenance and research tasks to support contracts administration, cash control operations, and assignment of medical record numbers; generating and distributing contracts and member ID cards; providing facilities support; and entering documents into the workflow imaging system.
Responsibilities:
- Identifying, researching, and reconciling billing payment amounts to ensure accurate eligibility determination, payment, revenue, and membership records.
- Setting up and maintaining member data, including processing enrollments, corrections, retroactivity adjustments, and terminations.
- Supporting eligibility inquiries.
- Ensuring bills are correct and mailed timely.
- Interacting with purchaser benefit administrators to answer questions and explain Health Plan policy and contractual provisions related to membership and billing, and resolving related problems.
- Assisting Health Plan purchaser contacts and sales and service representatives in the sales process and the analysis and resolution of problems related to membership accounting.
- Resolving payment discrepancies and delinquencies.
- Identifying, coding, batching, scanning, and indexing documents for imaging.
- Providing office services support, including picking up, sorting, and delivering mail; filing and retrieving documents; ordering and distributing office supplies; performing miscellaneous facilities maintenance tasks; and providing photocopying and copier maintenance.
- Working with internal and external customers and vendors to resolve any issues related to support services activities.
- Collecting and monitoring productivity and customer service quality measures.
- Participating in team-based projects and contributing to customer service and operations improvement initiatives.
- Assisting with training as required.
- Facilitating communications across all lines of business and with other departments.
- Participating in purchasers performance evaluations and performance target setting activities.
- Performing other duties as assigned.
REQUIREMENTS:
- 2 years of experience in accounting, finance or related preferred
- Proficiency in math, data entry, typing, spelling, and grammar, for which tests are required.
- Demonstrated ability to work in a team-based environment.
- Successful customer service track record.
- Ability to diagnose, analyze, and solve a variety of quantitative and qualitative problems.
- Ability to communicate clearly and professionally.
- Computer experience, preferably in a PC Windows-based environment.
- Willingness to learn new tasks and adapt to new business requirements.
- Excellent conflict resolution and decision-making capabilities.
- Ability to work productively at multiple tasks and to adapt to change and be flexible in shifting priorities.
EEO Employer
Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at [email protected] or 844-463-6178.
Apex Systems is a world-class IT services company that serves thousands of clients across the globe. When you join Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico.
Apex Benefits Overview: Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our ‘Welcome Packet’ as well, which an Apex team member can provide.