Job Details
Title: General Officer Clerk I Department: Contribution Accounting
Bargaining Unit: OPEIU 537 Grade: 1
Position Type: Non-Exempt Hours per Week: 40
Date Open: 05/23/2024
Position Summary:
Provides customer service to members and providers regarding routine billing and eligibility issues. Creates and maintains accurate enrollment, billing and eligibility records for administration of Plan benefits. Identifies and reports process and plan management improvement opportunities and recommends changes that improve the quality of service and benefits delivered to participants and beneficiaries. Position works within plan guidelines and applicable regulations such as Taft Hartley, ERISA, HIPAA, etc. Accomplishes work with minimal supervision. Provides back-up coverage for Employer Control Clerks.
"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."
General Duties:
- Provide customer service (telephone, electronic and in person) for billing and eligibility to participants, employers, unions, consultants, providers and coworkers; maintain positive client relationships. (Assist an average of 30 callers per day.)
- Prepare termination letters, COBRA and self-pay correspondence, and HIPAA notices.
- Review and process new enrollments and update existing enrollments for participants and qualified dependents.
- Identify, request and follow up on necessary dependent documentation (i.e. marriage licenses, birth records, domestic partner information, etc.).
- Review and process Trust specific reports.
- Update participant and dependent information in the system; perform general data entry.
- Cross-train/provide back-up coverage for Employer Control Clerk 1 and 2's as needed.
- Perform special projects as requested by management.
- Perform other duties as assigned within the scope of responsibilities and requirements of the job.
- Consistently meet established performance standards.
- Consistently demonstrate excellent attendance and punctuality.
- Occasional work outside of normal work hours (i.e. weekends/extended hours) based on business needs.
Minimum Qualifications: - HS or GED
- In Level 2 position for 12 months
- Meets all Level 3 qualifications and responsibilities within the previous 12 month period
- High school diploma or equivalent.
- TPA and Taft-Hartley multi-employer experience strongly preferred.
- Possess a strong work ethic and the ability to work effectively in a team environment.
- Highly developed sense of integrity and commitment to customer satisfaction.
- Ability to communicate clearly and professionally, both verbally and in writing, in English and Spanish.
- Exceptional customer service skills.
- Strong research, analytical and problem-solving skills.
- Ability to type 35 WPM; proficient PC skills, including MS Word and Excel.
- Ability to add, subtract, multiply and divide.
- Solid organization skills with strong detail orientation/high degree of accuracy.
- Ability to follow standard operating procedures.
- Able to maintain excellent attendance and punctuality.
- Must be able to sit for extended periods of time; use hands and fingers to operate a computer keyboard and/or mouse, telephone and 10-key pad; and talk and hear. Must be able to view/use PC for more than 75% of the day and a telephone for more than 50% of the day.
- Must be able to operate in a production environment. The noise level is usually moderate.
Zenith American SolutionsReal People. Real Solutions. National Reach. Local Expertise. We are currently seeking an experienced
General Office Clerk I with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.
Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 40 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before
Internals to Apply: If you meet the minimum qualifications and are interested in applying for the above position, please submit an application.