Health Plan Representative, Denver Health Medical Plan
Job description
Job Summary
Under general supervision, assists with the day-to-day operations of the Denver Health Medical Plan. Identifies, researches, and resolves complex problems by assisting members and providers in resolving their health plan related issues. Effectively makes decisions regarding whether member or provider information meets requirements for programs when circumstances require exceptions from, or interpretations of, rules, regulations or policies. Follows escalation procedures, and assists with documenting and tracking appeals and grievances. Collaborates directly with both internal and external partners such as State entities, other departments and community organizations.
Education and Experience
1. Graduation from High School or GED Certificate. Associates Degree Preferred
2. Two years Health Plan or customer service experience.
Job Type: Full-time
Pay: $21.11 - $28.56 per hour
Benefits:
- 401(k)
- Dental insurance
- Flexible spending account
- Health insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
- Work from home
Schedule:
- 8 hour shift
Work Location: Remote
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