Allegiance Benefit Plan Mgmt.
  • 25-Mar-2020 (MST)
  • Houston, TX, USA
  • DOE
  • Hourly
  • Full Time

Full Benefits Package


Do you want a career where you can make a difference? Allegiance is a growing company with hometown values that is looking for dynamic candidates to join the team! A positive, team-oriented environment is provided with opportunities for advancement.

Allegiance offers full-time positions with evenings, weekends, and holidays off and a multi-faceted benefits package.

We pride ourselves in having a reputation for top-notch customer service. Make a difference. Start your career with Allegiance today!!

REPORTS TO:     Team Leader                       LOCATION:  Texas       FLSA STATUS:    Non-Exempt

POSITION RESPONSIBILITIES:

This position is located in Texas.  The Client Service Representative is primarily responsible for assisting members and staff of their assigned facility for the Houston Methodist Plan, through various communication areas (walk-ins, telephone, email, etc.)  In addition, some accurate and timely processing of claims under the Houston Methodist Plan will be assigned.  The incumbent is expected to provide courteous, accurate and prompt responses to client inquiries.

 

The incumbent is expected to communicate professionally with peers, supervisors, subordinates, vendors, customers, and the public, and to be respectful and courteous in the conduct of this position.

 

ESSENTIAL JOB FUNCTIONS:

Essential job functions include the following.  Other functions may be assigned as business conditions change.

 

         Liaison with their assigned facility and Allegiance Benefit Plan Management, Inc. to research and contact the correct Allegiance department for resolution of problems.

         Collaborates with providers, plan participants, other claims payers, or any other party necessary to obtain information necessary to accurately submit and/or process a claim verifying the accuracy of the required documentation.

         Answers telephone calls from plan participants, group contacts, and customer service representatives pertaining to the Houston Methodist account.

         Resolves problematic claims with the assistance of the Team Leader, the Manager of Service Teams and/or the Director of Technical Claims Services.

         Contributes to the daily workflow with regular and punctual attendance.

NON-ESSENTIAL JOB FUNCTIONS:

 

  • Performs related or other assigned duties as required or directed.
  • Attends various group meetings as required.

                                                                                                                                                                                                                                                                                                                                       

SUPERVISION EXERCISED:

None.

 

PHYSICAL WORKING CONDITIONS:

Physical requirements are representative of those that must be met to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Sitting                                     80%                                                        Reaching                               Some

Standing                                                10%                                                        Manual Dexterity                 High

Walking                                 10%                                                        Telephone                            Yes

Kneeling                                                Some                                                     Computer Screen                                High (visual acuity corrected to 20/30)

Bending                                 Some                                                     Lifting                                     up to 20 pounds

JOB SPECIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Minimum Education:                                         High school graduation or GED required.  College degree and/or training in medical terminology preferred.

                                                                                 

Certification(s) Required:                                None.

 

Minimum Experience:                                       Experience in claims processing, medical billing, insurance, or health services preferred.  Familiarity with group health benefits preferred.   

 

Other Qualifications:                                        

  • Excellent oral and written communication skills required.
  • PC skills, including Windows and Word. Must be able to adapt to software changes as they occur.
  • Typing ability of 45 wpm net.
  • Knowledge of medical terminology and basic health insurance concepts.
  • Excellent listening skills.
  • Basic mathematical skills.
  • High level of interpersonal skills to work effectively with others.
  • Ability to organize and recall large amounts of detailed information.
  • Ability to read, analyze and interpret benefit summary plan descriptions, insurance documents, plan benefits and regulations and make appropriate applications to specific situations.
  • Ability to project a professional image and positive attitude in any work environment.
  • Ability to comply with privacy and confidentiality standards.
  • Ability to be flexible, work under pressure and meet deadlines.
  • Ability to analyze and solve problems with professionalism and patience, and to exercise good judgment when making decisions.
  • Ability to operate typical office equipment.
  • Working knowledge of general office procedures. 

The above statements are intended to describe the general nature and level of work being performed.  They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel as classified.

Allegiance Benefit Plan Mgmt.
  • Apply Now

  • * Fields Are Required

    What is your full name?

    How can we contact you?

  • Sign Up For Job Alerts!

  • Share This Page
  • Facebook Twitter LinkedIn Email
.
Logo About Contact Resources Careers