Service Center Representative Banner Plans and Networks

Primary City/State: Tucson, Arizona Department Name: Customer Care Work Shift: Varied Job Category: Administrative Services Estimated Pay Range: $18.02 - $27.03 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Banner Plans & Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare costs while keeping our members in optimal health. BPN is known for its innovative, collaborative, and team-oriented approach to healthcare. We offer diverse career opportunities, from entry-level to leadership positions, and extend our innovation to employment settings by including remote and hybrid opportunities. As a Service Center Representative for Banner Plans & Networks you will take inbound calls answering member and provider regarding coverage, benefits, and other coverage inquiries. You will be working in a fast paced and multitasking environment providing excellent customer service and satisfaction with a goal of first call resolution. Previous Call Center/high paced Contact Center environment experience required As a Service Center Representative, you will be working in a remote setting. Shifts will be 3-12s varied, days or nights. (weekends and holidays required) Example shifts: 8am - 8pm or 8pm - 8am This can be a remote position if you live in the following states only: AZ, CA, CO, NE, NV & WY If this role sounds like the one for you, Apply Today! Banner Plans & Networks (BPN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BPN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs. POSITION SUMMARY This position supports the organizations service center by providing daily customer service to physicians and/or staff, employees, health and dental plan members and dependents, payors, hospital staff, and the community at large. Herein referred to as customer. CORE FUNCTIONS 1. Receives, documents, researches and responds to customer inquiries following established policies, procedures and standards. (Answer, identify, research, document, and respond to a diverse and high volume of inbound and outbound health insurance related customer calls on a daily basis.) 2. Prepares and/or initiates a variety of correspondence/documents in response to customer inquiries, following departmental procedures and compliance guidelines. (Meet quality, quantity, and timeliness standards to achieve individual department performance goals as defined within the department guidelines and compliance standards.) 3. Facilitates timely research and issue resolution through interaction and communication with the appropriate parties, which includes but is not limited to, department team members, employees within the organization, physician offices, and/or contracted plan representatives. 4. Works cohesively with team members to ensure delivery of outstanding customer service, in a positive work environment, that supports the departments ongoing goals and objectives. 5. Fulfills informational needs of clients for care coordination of members, appropriate access to contracted providers, services of contracted managed care organizations, employee benefits, health and dental plan inquiries, and services of staff such as utilization review, prior authorization, billing and contract management. 6. Services inbound and outbound customer and staff communications for all facilities in the states in which they operate. Works with various departments and staff to provide accurate managed care information. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge. Demonstrated ability to provide essential customer service and knowledge in a high paced contact center environment as typically demonstrated with up to one year of experience, preferably in a healthcare or managed care. Ability to use technology tools to research and obtain accurate information to respond to customer inquiries via incoming calls, emails and/or instant messaging/chat avenues while maintaining a professional and service oriented demeanor at all times. Demonstrated ability to utilize computer and typing skills. The candidate must possess excellent communication skills to maintain a positive and helpful attitude with customers. Must have the ability to follow oral and written directions as they relate to the functions listed above. Must have the ability to acquire and utilize a sound knowledge of the companys customer information systems, as well as, fundamental knowledge of the organizations benefit programs, as described above. Must possess excellent organizational and time management skills to display the ability to provide timely, accurate information on a variety of benefit-oriented subjects. PREFERRED QUALIFICATIONS Bilingual preferred. Associate's degree with at least one to two years experience in a high call volume service center strongly preferred. Additional related education and/or experience preferred. Anticipated Closing Window (actual close date may be sooner): 2026-04-28 EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee. We are proud to offer a comprehensive benefit package for all benefit-eligible positions. Please visit our Benefits Guide for more information. EEO/Disabled/Veterans Banner Health supports a drug-free work environment. Privacy Policy This website contains the current Banner Health job openings. Applications submitted on this site will be securely submitted for consideration. 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