Banner Health
Service Center Representative Banner Plans and Networks
Banner Health, Lincoln, Nebraska, United States, 68511
Service Center Representative Banner Plans and Networks
Company:
Banner Health
Location:
Tucson, Arizona
Department:
Customer Care
Employment type:
Full-time
Seniority level:
Mid‑Senior level
Estimated Pay Range:
$18.02 - $27.03 / hour (based on location, education, & experience). In accordance with State Pay Transparency Rules.
Job Category:
Administrative Services
Banner Plans & Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare costs while keeping our members in optimal health. BPN is known for its innovative, collaborative, and team-oriented approach to healthcare. We offer diverse career opportunities, from entry-level to leadership positions, and extend our innovation to employment settings by including remote and hybrid opportunities.
Shift:
Varied (3–12 hour shifts, days or nights; weekends and holidays required)
Job Summary:
In this role you will take inbound calls answering member and provider inquiries regarding coverage, benefits, and other coverage issues. You will work in a fast‑paced, multitasking environment providing excellent customer service and striving for first‑call resolution.
Core Functions:
Receives, documents, researches and responds to customer inquiries following established policies, procedures and standards. (Answer, identify, research, document and respond to a diverse and high volume of inbound and outbound health insurance related customer calls on a daily basis.)
Prepares and/or initiates a variety of correspondence/documents in response to customer inquiries, following departmental procedures and compliance guidelines. (Meet quality, quantity, and timeliness standards to achieve individual department performance goals as defined within the department guidelines and compliance standards.)
Facilitates timely research and issue resolution through interaction and communication with the appropriate parties, which includes but is not limited to, department team members, employees within the organization, physician offices, and/or contracted plan representatives.
Works cohesively with team members to ensure delivery of outstanding customer service, in a positive work environment, that supports the department’s ongoing goals and objectives.
Fulfills informational needs of clients for care coordination of members, appropriate access to contracted providers, services of contracted managed care organizations, employee benefits, health and dental plan inquiries, and services of staff such as utilization review, prior authorization, billing and contract management.
Services inbound and outbound customer and staff communications for all facilities in the states in which they operate. Works with various departments and staff to provide accurate managed care information.
Minimum Qualifications:
High school diploma/GED or equivalent working knowledge.
Demonstrated ability to provide essential customer service and knowledge in a high‑paced contact center environment as typically demonstrated with up to one year of experience, preferably in a healthcare or managed care setting.
Ability to use technology tools to research and obtain accurate information to respond to customer inquiries via incoming calls, emails, and/or instant messaging/chat avenues while maintaining a professional and service‑oriented demeanor at all times.
Demonstrated ability to utilize computer and typing skills.
Excellent communication skills to maintain a positive and helpful attitude with customers.
Ability to follow oral and written directions as they relate to the functions listed above.
Ability to acquire and utilize a sound knowledge of the company’s customer information systems, as well as fundamental knowledge of the organization’s benefit programs.
Excellent organizational and time management skills to provide timely, accurate information on a variety of benefit‑oriented subjects.
Preferred Qualifications:
Bilingual preferred.
Associate's degree with at least one to two years experience in a high call volume service center strongly preferred.
Additional Related Education And/or Experience Preferred:
Anticipated Closing Window:
2026-04-28
EEO Statement:
EEO/Disabled/Veterans. Our organization supports a drug‑free work environment.
Privacy Policy
#J-18808-Ljbffr
Banner Health
Location:
Tucson, Arizona
Department:
Customer Care
Employment type:
Full-time
Seniority level:
Mid‑Senior level
Estimated Pay Range:
$18.02 - $27.03 / hour (based on location, education, & experience). In accordance with State Pay Transparency Rules.
Job Category:
Administrative Services
Banner Plans & Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare costs while keeping our members in optimal health. BPN is known for its innovative, collaborative, and team-oriented approach to healthcare. We offer diverse career opportunities, from entry-level to leadership positions, and extend our innovation to employment settings by including remote and hybrid opportunities.
Shift:
Varied (3–12 hour shifts, days or nights; weekends and holidays required)
Job Summary:
In this role you will take inbound calls answering member and provider inquiries regarding coverage, benefits, and other coverage issues. You will work in a fast‑paced, multitasking environment providing excellent customer service and striving for first‑call resolution.
Core Functions:
Receives, documents, researches and responds to customer inquiries following established policies, procedures and standards. (Answer, identify, research, document and respond to a diverse and high volume of inbound and outbound health insurance related customer calls on a daily basis.)
Prepares and/or initiates a variety of correspondence/documents in response to customer inquiries, following departmental procedures and compliance guidelines. (Meet quality, quantity, and timeliness standards to achieve individual department performance goals as defined within the department guidelines and compliance standards.)
Facilitates timely research and issue resolution through interaction and communication with the appropriate parties, which includes but is not limited to, department team members, employees within the organization, physician offices, and/or contracted plan representatives.
Works cohesively with team members to ensure delivery of outstanding customer service, in a positive work environment, that supports the department’s ongoing goals and objectives.
Fulfills informational needs of clients for care coordination of members, appropriate access to contracted providers, services of contracted managed care organizations, employee benefits, health and dental plan inquiries, and services of staff such as utilization review, prior authorization, billing and contract management.
Services inbound and outbound customer and staff communications for all facilities in the states in which they operate. Works with various departments and staff to provide accurate managed care information.
Minimum Qualifications:
High school diploma/GED or equivalent working knowledge.
Demonstrated ability to provide essential customer service and knowledge in a high‑paced contact center environment as typically demonstrated with up to one year of experience, preferably in a healthcare or managed care setting.
Ability to use technology tools to research and obtain accurate information to respond to customer inquiries via incoming calls, emails, and/or instant messaging/chat avenues while maintaining a professional and service‑oriented demeanor at all times.
Demonstrated ability to utilize computer and typing skills.
Excellent communication skills to maintain a positive and helpful attitude with customers.
Ability to follow oral and written directions as they relate to the functions listed above.
Ability to acquire and utilize a sound knowledge of the company’s customer information systems, as well as fundamental knowledge of the organization’s benefit programs.
Excellent organizational and time management skills to provide timely, accurate information on a variety of benefit‑oriented subjects.
Preferred Qualifications:
Bilingual preferred.
Associate's degree with at least one to two years experience in a high call volume service center strongly preferred.
Additional Related Education And/or Experience Preferred:
Anticipated Closing Window:
2026-04-28
EEO Statement:
EEO/Disabled/Veterans. Our organization supports a drug‑free work environment.
Privacy Policy
#J-18808-Ljbffr