TEMP BPO Senior Associate

Position Summary:

The Refund Specialist reports to the Claims Manager. This position is responsible for handling the processing of voids and refunds.

Principal Duties & Responsibilities:

• Processes all voids and refunds
• Handles all stop payments
• Coordinates refunds with Finance department
• Maintains refunds at a 30-day TAT
• Performs other duties as assigned

General Expectations :

• Present a positive image of Consociate Health at all times.
• Provide and promote the delivery of services with a prevailing attitude of respect and recognition of the personal worth and dignity of every individual whether they are a client, coworker, or supervisor.
• Communicate in a clear and concise manner, while also demonstrating receptivity through active listening.
• Identify and perform work that has not been specifically assigned, as needed.
• Adheres to established safety standards and utilizes proper techniques to avoid work-related injuries.
• Continuously seek opportunities for improvement and suggest ways in which procedures/systems may be modified to accomplish tasks/goal efficiently and effectively.
• Demonstrate a teamwork philosophy by working cooperatively with others inside and outside the Claims Department.
• Attend required in-service and staff meetings.
• Preserve the confidentiality of all business-sensitive information, including but not limited to that of insured groups, individuals and employees.

Service Expectations:

• Greet all people in a prompt and courteous manner. Communicates in a warm and courteous manner, making eye contact and speaking in a tone of voice that matches words.
• Respond to client requests in a timely manner, returning calls promptly and keeping them informed of delays before they ask.
• Take appropriate steps to resolve problems to the clients satisfaction.
• Seek opportunities, provide value-added services, and eliminate tasks that do not serve our clients or staff.
• Remain aware of products and services provided by Consociate Health.
• Project a positive, professional image when working.

Knowledge, Skills and Ability Requirements:

• High School Education required.
• Claims Processing Experience required. Experience processing claims adjustments and refunds preferred.
• Minimum of one to three years of experience working with the public. Previous insurance billing or customer service background recommended.

Physical and Mental Abilities :

• Ability to perform sedentary work for extended periods of time.
• Ability to utilize personal computer (manual dexterity is required to operate a keyboard), telephone system, and communicate with a variety of customers.
• Ability to concentrate, meet deadlines, work on several projects during the same period, and adapt to interruptions.

Reporting Structure:

• Reports to the Claims Manager

Working Conditions :

• Work is performed remotely.
• Overtime as needed may be requested.