PSA COBRA Representative
PacificSource

Looking for a way to make an impact and help people?

Join PacificSource and help our members access quality, affordable care!

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.

Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

Maintain accurate, current records of all documents and accounts for pending and enrolled participants and groups. Provide customer service assistance to beneficiaries, brokers, and group administrators. Understand and adhere to all COBRA regulations and timelines.

Essential Responsibilities:

• Process all termination notices received from the group within 3 days. Research and resolve any missing information necessary process the received forms.
• Process notifications and changes; as related to member demographic changes.
• Audit and distribute daily member correspondence.
• Distribute carrier correspondence to ensure enrollment information is sent and provide support to resolve discrepancies. This includes, but is not limited to, enrollment dates, termination dates, and premium rates.
• Process Benefit Plan Renewals, to include updating new carrier information and rate updates, within 5 days of receiving.
• Process requested open enrollment at renewal.
• Assist employer group administrators, agents, and PSA staff on eligibility, regulations, and calculation of COBRA premium rates.
• Enter and maintain information in multiple databases such as HIVE, Great Plains, COBRA point or other COBRA related software platform(s). This will include but is not limited to; setting up new member accounts, updating existing groups at renewal and making any approved mid-year plan changes.
• Provide phone and e-mail support to members, group administrators, and PacificSource employees.
• Support all operational initiatives and process change implementations.
• Support all web-based changes submitted by group administrators.

Supporting Responsibilities:

• Participate in department meetings and training. Take advantage of opportunities to increase knowledge and skill.
• Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
• Meet department and company performance and attendance expectations.
• Perform other duties as assigned.

SUCCESS PROFILE

Work Experience: One year of office experience required. Previous healthcare, COBRA or customer service experience preferred.

Education, Certificates, Licenses: High school diploma or equivalent required.

Knowledge: Ability to prioritize work and meet department metrics and timelines under time pressures while following procedures and maintaining accuracy and professionalism. Advanced computer skills, ability to type using a standard keyboard and operate a 10-key pad by touch. Ability to clearly communicate in person and on the telephone and is able to request and exchange information in a pleasant, respectful and professional manner.

Competencies:

Building Customer Loyalty

Building Strategic Work Relationships

Contributing to Team Success

Planning and Organizing

Continuous Improvement

Adaptability

Building Trust

Work Standards

Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately less than 5% of the time.

Skills:
Accountability, Collaboration, Communication (written/verbal), Flexibility, Group Problem Solving, Listening (active), Organizational skills/Planning and Organization, Teamwork

Our Values

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:

• We are committed to doing the right thing.
• We are one team working toward a common goal.
• We are each responsible for customer service.
• We practice open communication at all levels of the company to foster individual, team and company growth.
• We actively participate in efforts to improve our many communities-internally and externally.
• We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
• We encourage creativity, innovation, and the pursuit of excellence.

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

This job has expired.