Mar 23, 2018

Claims Call Center Representative

  • AIDS Healthcare Foundation
  • Los Angeles, CA, USA
Administration / Clerical Foundations

Job Description


Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?

If so, AIDS Healthcare Foundation is the place for you!

Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the world. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.

AHF’s Core Values

• Patient-Centered
• Value Employees
• Respect for Diversity
• Nimble
• Fight for What’s Right

Benefits at AHF
AHF offers comprehensive benefits to help our employees do and be their very best! These benefits are intended to enhance employee physical, financial, spiritual, and professional health.



The Claims Call Center Representative (CCCR) contributes to AHF's mission by providing positive experiences to the providers, internal staff, and plan members that call into the Managed Care Division’s call center. Within their duties of answering incoming claims inquiry calls, the CCCR is, thorough, professional and timely in assisting issues regarding: claim payment status, claim payment denial, claim adjustment, coordination of benefits, provider claim disputes, etc. Knowledgeable and courteous communication with members, providers and colleagues provides a satisfying experience and enhances the reputation of AHF.   The well-informed communication by the CCCR promotes and aims to maintain a high retention rate of providers and members. CCCRs improve the effectiveness, efficiency and quality of the organization by incorporating the essential information gathering techniques related to updating member and provider contact information, receiving, in a helpful and empathetic way, any and all complaints and grievances and providing timely follow up to members and providers as the situation requires.

Understanding the organization’s health plans and programs in terms of eligibility requirements for enrollment, benefits, limitation, rules for obtaining care, provider and pharmacy networks as well as claims submission procedures will help ensure the member or provider is receiving accurate and helpful information.

Title / Level of Responsibility

Coordinator, Entry Level

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