Role Description We are seeking organized, customer-focused individuals to join our team as a Remote Vacation Planner. In this role, you will assist clients with researching options, coordinating travel reservations, and ensuring booking details are accurate and complete while working in a remote environment. - Assist clients with planning and reserving travel such as accommodations, cruises, tours, and packaged vacations - Provide general destination information and travel recommendations based on client preferences - Communicate with travel suppliers to confirm availability, pricing, and reservation details - Respond to inquiries through phone, email, and online communication platforms - Maintain organized client records and documentation - Follow company procedures for quoting, booking, and service Qualifications - Strong communication and customer service skills - Detail-oriented with good organizational ability - Comfortable working independently in a remote setting - Basic computer proficiency and reliable internet access - Must be at least 18 years of age and authorized to work in your location - Prior travel industry experience is helpful but not required; training is provided Benefits - Remote work environment - Structured onboarding and ongoing training - Access to industry tools and supplier partnerships - Opportunities to grow within the organization

• Handles complex account follow-up, denials, and claims resolution • Review, resubmit, and follow up on complex insurance claims • Perform detailed account research and update account information accurately • Resolve denials and ensure adherence to payer contract requirements • Maintain work queues and ensure timely resolution of accounts • Provide support to teammates and cross-train in additional revenue cycle functions • Demonstrate strong documentation, analytics, professionalism, and customer service

• Dedicate time to research and implement best practices, fostering growth and excellence in our call center's approach to membership and insurance services • Oversee and update databases pertinent to memberships and insurance, generating detailed internal and external reports • Spearhead programs to uplift service delivery, member benefits, and performance • Analyze workforce management data to identify trends, risks, and opportunities that impact service levels and operational efficiency • Monitor daily staffing performance against forecasts and service targets, and recommend adjustments to improve productivity and customer experience • Partner with operations leaders to understand business needs and translate them into workforce planning insights and staffing recommendations • Build and maintain reporting dashboards and performance metrics related to staffing, occupancy, adherence, and service levels • Conduct root-cause analysis on service level variances and workforce performance issues, providing actionable recommendations • Collaborate with scheduling and real-time teams to optimize staffing coverage and ensure alignment with operational goals • Identify opportunities to improve workforce management processes, tools, and reporting automation • Present insights and recommendations to stakeholders in a clear and concise manner to support operational decision-making • Ensure workforce management practices align with organizational policies, regulatory considerations, and service commitments • Design and present management reports, ensuring leadership is equipped with the information they need to make strategic decisions • Lead initiatives to refine and revamp processes, ensuring the call center stays ahead of industry standards • Engage with different business units and external vendors on projects, ensuring cohesive operational alignment • Serve as a key communication link between the call center, vendors, and other departments, ensuring smooth operation

Role Description Build your Career. Make a Difference. Presbyterian is hiring a skilled Call Center Representative to join our team. - Type of Opportunity: Full time - Job Exempt: No - Job is based: Reverend Hugh Cooper Administrative Center - Work Shift: Days (United States of America) Responsibilities: - Responsible for providing customer service for members and providers in all PHP benefit plans. - Ensure callers receive service excellence when responding to telephone, written, Pres Online, E-Business, chat and in-person inquiries. - High school diploma plus one to three years office/business experience; call center experience preferred and/or is currently demonstrating customer service skills, meeting current department metric and attendance guidelines within department. - Claims processing experience in managed care with possible enrollment experience is preferred. - Demonstrated ability to communicate effectively in person and via telephone with members, employer groups, brokers, physicians, and physician office staff. - Written communication skills as well as business writing and presentation skills are required. - Requires strong organizational skills, ability to create, sort and analyze reports (Excel, Access, etc.) and system processes. - A thorough knowledge of reimbursement methodologies i.e. DRG, Relative Value Systems, Per Diem, Fee schedule, Capitation, etc. and some knowledge of risk sharing programs helpful. - Some knowledge of CRM and Facets, as well as any other databases that may be used PHS Enterprise wide. - Demonstrated ability to function effectively as a team member. - Requires ability to retain plan details and basic medical terminology. - Must be able to work cooperatively with other employees and function under pressure. - Demonstrated ability to sustain quality standards. - Must be able to prove ability to type 30 wpm with 90% accuracy. Qualifications - High school/GED diploma - One year office/business experience - Call Center experience preferred. Benefits - All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits. - Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinars, preventive screening and more. Company Description Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. - Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. - AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke-free campuses.