Customer Care Representative I at Elevance Health

New Hyde Park, New York, United States

Elevance Health Logo
Not SpecifiedCompensation
Entry Level & New GradExperience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries

Requirements

  • HS diploma or equivalent
  • Previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background

Responsibilities

  • Successfully complete required basic training
  • Perform basic job functions with help from co-workers, specialists, and managers on non-basic issues
  • Respond to customer questions via telephone regarding insurance benefits, provider contracts, eligibility, and claims
  • Analyze problems and provide information/solutions
  • Operate a PC/image station to obtain and extract information; document information, activities, and changes in the database
  • Thoroughly document inquiry outcomes for accurate tracking and analysis
  • Develop and maintain positive customer relations and coordinate with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner
  • Research and analyze data to address operational challenges and customer service issues
  • Provide external and internal customers with requested information
  • Under immediate supervision, receive and place follow-up telephone calls/e-mails to answer routine customer questions
  • Use computerized systems for tracking, information gathering, and troubleshooting
  • Seek, understand, and respond to the needs and expectations of internal and external customers

Skills

Customer Service
Insurance Benefits
Claims Processing
Eligibility Verification
Provider Contracts
Telephone Support
Email Communication
Data Entry
Database Management
Troubleshooting

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters
1944Year Founded
$309.4MTotal Funding
IPOCompany Stage
Enterprise Software, Social Impact, HealthcareIndustries
10,001+Employees

Benefits

Medical, dental, & vision insurance
401(k) + match
Paid holidays
Paid Time Off
Incentive bonus programs
Stock purchase plan
Life insurance
Wellness Programs
Financial education resources
Adoption & Surrogacy Assistance
Dependent-care Flexible Spending Account (DCFSA)
Parental Leave
Parental Transition Week
Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.
Lawsuit against CMS over MA Star Ratings could lead to financial penalties.
CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.
Acquisition of CareBridge enhances home health services within Carelon division.
Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.
Predictive analytics support early disease detection, aligning with Elevance's whole health approach.
Telehealth expansion offers opportunities to reach more patients remotely.

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