Overview:
About Fallon Health:
Fallon Health is a mission-driven not-for-profit health care services organization based in Worcester, Massachusetts. For 45 years we have been improving health and inspiring hope in the communities we serve. Committed to caring for those who need us most, we pride ourselves on providing equitable access to coordinated, integrated care for our members with a special focus on those who qualify for Medicare and Medicaid. We also serve as a provider of care through our Program of All-Inclusive Care for the Elderly (PACE). Dedicated to delivering high quality health care, we are continually rated among the nation’s top health plans for member experience and service and clinical quality.
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 consistently conform to written procedures, established schedules, and predetermined priorities. To make outbound deliveries to the Post Office utilizing the FH vans.
Responsibilities:
Job Responsibilities:
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Imaging, data management, analysis, and reporting
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Ability to assist staff with the production of letters and monthly department metrics.
- Assist with enrollment application batching
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Assist with premium payment coding
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Maintain Imaging folders
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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.
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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.
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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.
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Call for repairs and updating repair log when needed.
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100% accuracy.
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Sales & Customer Service Fulfillments
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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.
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100% accuracy.
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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.
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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/Certifications:
Valid Drivers License
Experience:
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Preferably 1 – 2 years of experience in insurance industry
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Six months to one year general office experience required
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Ability to lift up to 50lbs.
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Light experience with MS Office programs
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.
Fallon Health Vaccination Requirements:
To protect the health and safety of our workforce, members and communities we serve, Fallon Health now requires all employees to disclose COVID-19 vaccination status. As of 2/1/2022 all roles not designated as “Remote” require full COVID-19 vaccination and Fallon Health will obtain the necessary information from candidates prior to employment to ensure compliance. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.