Healthcare Service Center Representative

Service Center Representative

Apex Systems is hiring Service Center Representatives for a large Healthcare client.

Location: San Diego, California (Hybrid) - this role will begin onsite + then transition to remote.

There is an assessment needed to be considered for presentation to the manager.

If interested, please apply here and we will reach out with next steps!

Role Overview

This position supports membership operations by accurately entering and validating application data submitted through an online portal to determine program eligibility. The role involves performing account maintenance, billing, reconciliation, reporting, and customer service-related activities. Additional responsibilities include providing operational support for various membership-related activities as needed.

Key Responsibilities

• Support membership operations by accurately entering and validating application data.
• Perform account maintenance, billing, reconciliation, and reporting activities.
• Identify, research, and reconcile billing payment amounts to ensure accurate records.
• Set up and maintain member data, including processing enrollments, corrections, and terminations.
• Support eligibility inquiries and ensure bills are correct and mailed in a timely manner.
• Interact with benefit administrators to answer questions and explain policy and contractual provisions.
• Resolve payment discrepancies and delinquencies.
• Assist with training as required.

Required Qualifications

Experience: A successful customer service track record is required.

Technical Skills: Proficiency in math, data entry, typing, spelling, grammar, and computer use, preferably in a PC Windows-based environment.

HSD/GED obtained.

Preferred Qualifications

• A minimum of two years of experience in accounting, finance, or a related field is preferred.
• Demonstrated ability to work in a team-based environment.
• Ability to diagnose, analyze, and solve a variety of quantitative and qualitative problems.
• Excellent conflict resolution and decision-making capabilities.
• Ability to communicate clearly and professionally.

Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico.