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Job Information

Fallon Health Distribution Services Representative II in Worcester, Massachusetts

Overview

About Fallon Health

Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org.

Brief summary of purpose:

To assure accurate sorting and delivery of all internal mail, packages and boxes to various departments in a courteous and professional manner on a daily basis. To work independently or as a team. Ability to multi task and shift priorities as needed. Performs clerical functions, possibly including but not limited to filing, photocopying, mailing of correspondence, research, batching enrollment applications and computer look-up. Ensures that services provided consistentlyconform to written procedures, established schedules, and predetermined priorities. To make outbound deliveries to the Post Office utilizing the FH vans .

Responsibilities

  • Assist with Enrollment batching process.

  • Print and mail HIPPA Letters

  • Scanning items in accordance with FH guidelines – This includes prepping of documents prior to scanning (remove staples, tape, photocopy when needed)

  • 60 – Day Conversion letters

  • Data entry and filing of payment batches

  • Produce daily reports for use by department staff.

  • Strictly observe the Fallon Health policy regarding confidentiality of member information.

  • Sorts and delivers all inter-company mail/packages and follows up on any mail/packages not properly labeled.

  • Miscellaneous cleanup of storage areas, mailroom, dock area etc. Able to work independently and demonstrate flexibility.

  • Process and deliver return mail to the appropriate department for handling

  • Stamp mail.

  • Additional duties may be assigned or requested by the Supervisor or Director of Enrollment & Billing Operations.

  • Maintains files and records usually of highly confidential nature. Prepares confidential and special reports as required

  • Ensures that all certified mail is logged and gets to the Post Office on a daily basis for all departments (3:30pm) in addition to a 4:30pm pick up for HMS. Delivers mail to Post Office 1-2 times daily utilizing the FCHP van. Ensures mail is secured and delivered to the Post Office daily. Utilizes safety and confidentiality. Represents Fallon in a positive and professional manner. Has a valid driver’s license.

  • Picks up and delivers all boxes, packages etc. and logs them and gets a signature from recipients. Ensures all boxes and packages are delivered to the correct person or department. Ability to handle a two- wheeler, mail cart and pallet jack.

  • Delivers copy paper to all departments on Mondays and logs it for inventory. Ensures 9 th floor departments are kept in stock of copy paper.

  • Daily, close and lock mail room and turn off lights to ensure security of mailroom Dept.

Imaging, data management, analysis, and reporting

  • Ability to assist staff with the production of letters and monthly department metrics.

  • Assist with enrollment application batching

  • Assist with premium payment coding

  • Maintain Imaging folders

  • Retrieve images in Alchemy and return to the requestor the images utilizing e-mail.

  • Updating the excel spreadsheet with the daily retrieval counts.

  • Respond to e-mail / paper within the same day.

  • Place report numbers into excel sheet for scanned totals and rescanned totals. This should be done daily and should take no more than 20 minutes.

  • Printing out member request from both QNXT and Customer Service database on Avery labels.

  • Filling out member with correct material. Informing predestinated Customer Service rep for items on hold.

  • Updating binder with new material.

  • Order material before supplies run out.

  • Complete request same day they are received. All labels should take no longer than 2 hours to complete.

  • Making sure all letters are folded, postage charged back to correct department and spreadsheet is up to date.

  • Call for repairs and updating repair log when needed.

  • 100% Accuracy

  • Printing out member request from both QNXT and Customer Service database on Avery labels.

  • Filling out member with correct material. Informing predestinated Customer Service rep for items on hold.

  • Updating binder with new material.

  • Order material before supplies run out.

  • Complete request same day they are received. All labels should take no longer than 2 hours to complete.

  • 100% accuracy.

  • Print out sales fulfillment request from Avenue.

  • Collate and fill orders has needed.

  • Update reports in excel.

  • Order supplies from Wilde as needed.

  • E-mail sales rep and sales admin assistant if unable to fulfill orders.

  • All orders must be filled, shipped or delivered to P2 storage same day unless summary of benefits arrive too late in the day to print.

  • Look up benefit summaries, benefit codes and anniversary dates as needed to fill orders.

Qualifications

Education :

High School Diploma required

License:

Valid Drivers License

Experience:

  • Preferably 1 – 2 years of experience in insurance industry

  • Six months to one year general office experience required

  • Ability to lift up to 50lbs.

Light experience with MS Office programs

Resources used in Performing Role:

QNXT, Microsoft Excel, Microsoft access, Microsoft word.

Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

PM16

Location US-MA-Worcester

Posted Date 3 weeks ago (6/8/2020 11:38 AM)

Job ID 5997

# Positions 1

Category Distribution Services

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