Job Description

POSITION SUMMARY

Plays a critical role in PEHP’s efforts to serve and create value for our members by helping them understand their benefits, avoid payment surprises, navigate healthcare complexity, resolve problems, and make good benefit decisions. Performs a variety of duties to handle incoming calls, faxes and emails regarding claims, eligibility, verification of benefits, limitation and exclusions and website related questions, for all PEHP plans. Documents all communications. Successful performance for the position requires a genuine interest in helping others, the ability to learn about and share complex information about health benefits, and a high level of commitment and dependability.

ESSENTIAL DUTIES & RESPONSIBILITIES