ACA Exchange Customer Service Rep.

AmeriHealth Caritas is a healthcare organization providing managed care and related health services. The ACA Exchange Customer Service Representative supports members by handling benefit, eligibility, premium billing, and other inquiries, providing education, and assisting with PCP selection and access to care. The role also supports quality processes, issue resolution, compliance, and continuous process improvement. ResponsibilitiesUnder the general direction of the ACA Operations Supervisor, responsible for responding in a timely, professional and courteous manner to all and member needs. This includes inbound and outbound phone calls or correspondence regarding benefit, eligibility, member premium billing, and other member issues. Provides member education and assists members with PCP selection and assignments. Assists with access to care and wellness program. Demonstrates solid knowledge of the Affordable Care Act regulations, functions and team process. Demonstrates superior skill