Why The Health Plan of West Virginia
FY2024 · Form 990Its mission and biggest programs, as filedImproves community health and well-being through technology-driven services and professional partnerships.
- The Health Plan offers a managed care program for mountain Health trust (mht), West virginia's medicaid program. At december 31, 2024, the Health plan's mht Plan serviced 100,002 members with 42,679 members enrolled from the expansion population, 41,915 members enrolled…$501M spent in FY2024
- The Health Plan offers a medicare advantage program known as secure care and a program for members eligible for both medicare and medicaid known as a medicare dual special needs Plan (dsnp). Secure care enables the medicare eligible population to…$136M spent in FY2024
- The primary exempt purpose of the Health Plan of West virgina, INC. (the Health Plan) is to operate a state certified, federally qualified Health maintenance organization (hmo) which provides comprehensive Health care services on a prepaid basis. The number of…$124.3M spent in FY2024
Before you apply
FY2024 · Form 990Independent: from IRS data, not the orgAbout the role
The org's own posting, as writtenThe Customer Service Representative is responsible for answering phone calls in a prompt and courteous manner to achieve contractual obligations. Responsible for answering Member's and Provider's questions with a quick and accurate response. They are also responsible for timely completion of all correspondence and reporting functions associated with the Customer Service Department. Required: High School Graduate or equivalent. Strong ability to relate to all customers. Excellent communication skills. Some knowledge of health care and insurance. Computer and Keyboard skills. Proper usage of the English Language. Consistently displays a positive attitude.
Desired: 1-2 year post high school education with focus on healthcare. Previous call center experience. Knowledge of medical terminology. Knowledge of CPT and ICD-10 Coding. Familiar with medical and hospital claims.
Responsibilities
Takes an average of 40-60 incoming calls daily. Keep pended work at tolerable range (when applicable). Manage to work correspondence, faxes and e-mails in a timely manner. Maintains monthly monitoring score of 90% accuracy or above on the 17 Points of Excellence. Demonstrates a complete understanding of departmental policies and procedures. Able to perform assigned tasks with minimal supervision. Meets requirements on annual performance evaluation. Increasing improvement in performance and job knowledge. Documents calls according to departmental guidelines.
Equal Opportunity
Employer The Health Plan is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. The Health Plan strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law.
The Health Plan employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment. 8:00am - 5:00pm 40
About The Health Plan of West Virginia
From its Form 990- Budget $772.7M
- Staff 643 · founded 1979
- Pays its leaders $241K–$691K (12 reported)
- Open jobs 19 · Jobs at The Health Plan of West Virginia · Full 990 report