Claims Customer Service Advocate I
4 weeks ago
Title: Claims Customer Service Advocate I
Location: Columbia, SC, 29229
Duration: 3 months assignment
Shift Monday- Friday, 8:00 AM-4:30 PM
NOTE:
Interviews: Teams/Phone Local Candidates.
Onsite Training estimated 30-60 days onsite, then remote.
Equipment will be provided. We want workers who are punctual and hard working.
Sending out COB letters to members to update other health insurance information. The Coordination of Benefits team handles claims and correspondence for members that have, or may have, other coverage.
Duties:
- Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures.
- 40% Responds to written and/or telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met. Accurately documents inquiries. Identifies incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines.
- 40% Examines and processes claims and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct coding of procedures and diagnosis codes. Ensures claims are processing according to established quality and production standards.
- 20% Identifies complaints and inquiries of a complex level that cannot be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and promptly reports and/or refers suspected fraudulent activities and system errors to the appropriate departments.
Skills:
Required Skills and Abilities: Good verbal and written communication skills. Strong customer service skills. Good spelling, punctuation and grammar skills. Basic business math proficiency. Ability to handle confidential or sensitive information with discretion. Required Software and Other Tools: Microsoft Office. Work Environment: Typical Office Environment.
Education:
Required Education: High School Diploma or equivalent Required Work Experience: 1 year of experience in a claims/appeals processing, customer service, or other related support area OR Bachelor's Degree in lieu of work experience.
-
Claims Customer Service Advocate I
2 days ago
Columbia, United States Spectraforce Technologies Full timeTitle: Claims Customer Service Advocate I Location: Columbia, SC, 29229 Duration: 12 months assignment (Contract to Perm) Shift Monday- Friday, 7:30am-4:00pm ?NOTE: Interviews In person. Training onsite 6-8 weeks; Onsite Only. Preferred Skills: Claims experience; time-management skills; ability to work independently; research skills. Communication skills;...
-
Claims Customer Service Advocate
2 weeks ago
Columbia, United States Mindlance Full timeJob Title: Claims Customer Service Advocate Job Location: Columbia, SC Zip Code: 29201 Top 3/5 Skills: · Customer Service · Inbound/outbound call · Data Entry · Claims processing Job Responsibilities Responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and...
-
Claims Customer Service Advocate
3 weeks ago
Columbia, United States Mindlance Full timeJob Title: Claims Customer Service Advocate Job Location: Columbia, SC Zip Code: 29201 Top 3/5 Skills: · Customer Service · Inbound/outbound call · Data Entry · Claims processing Job Responsibilities Responsible for responding to customer inquiries. Inquiries may be non-routine and...
-
Claims Customer Service Advocate II
4 days ago
Columbia, United States Experis Full timeJob Title: Claims Customer Service Advocate Location: 4101 Percival Road Columbia SC 29229 United States Duration: 12 months contract Pay Rate: $16/hr (On W2) We are looking for a Claims Customer Service Advocate I to join one of our Fortune 500 clients. Education &Qualifications: High School Diploma or equivalent 2 years of customer service...
-
Claims Customer Service Advocate II
3 days ago
Columbia, United States Experis Full timeJob Title: Claims Customer Service Advocate Location: 4101 Percival Road Columbia SC 29229 United States Duration: 12 months contract Pay Rate: $16/hr (On W2) We are looking for a Claims Customer Service Advocate I to join one of our Fortune 500 clients. Education &Qualifications: High School Diploma or equivalent 2 years of customer service experience...
-
Claims Customer Service Advocate
3 weeks ago
West Columbia, United States Mindlance Full timeJob Title: Claims Customer Service Advocate Job Location: Columbia, SC Zip Code: 29201 Top 3/5 Skills: · Customer Service · Inbound/outbound call · Data Entry · Claims processing Job Responsibilities Responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and...
-
Claims Customer Service Advocate I
7 days ago
Columbia, United States LanceSoft Full timeResponsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. 40% Responds to written and/or telephone inquiries...
-
Claims Customer Service Advocate I
2 weeks ago
Columbia, United States LanceSoft Full timeResponsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. 40% Responds to written and/or telephone inquiries...
-
Claims Customer Service Advocate I
7 days ago
Columbia, United States Mindlance Full timeDuties: Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. • 40% Responds to written and/or telephone...
-
Customer Service Advocate I
7 days ago
Columbia, United States Pyramid Consulting, Inc Full timeImmediate need for a talented Customer Service Advocate I. This is a 09+ months Contract opportunity with long-term potential and is located in Columbia, SC (Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID: 24-22195 Pay Range: $15.50/hour. Employee benefits include, but are not limited to, health...
-
Customer Service Advocate I
3 weeks ago
Columbia, United States Pyramid Consulting, Inc Full timeImmediate need for a talented Customer Service Advocate I . This is a 0 6+ Months contract opportunity with long-term potential and is located in Columbia, SC (Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID: 24-20142 Pay Range: $14 - $17/hour. Employee benefits include, but are...
-
Customer Service Advocate I
6 days ago
West Columbia, United States Pyramid Consulting Full timeImmediate need for a talented Customer Service Advocate I. This is a 09+ months Contract opportunity with long-term potential and is located in Columbia, SC (Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID: 24-22195 Pay Range: $15.50/hour. Employee benefits include, but are not limited to, health...
-
Customer Service Advocate I
3 weeks ago
West Columbia, United States Pyramid Consulting Full timeImmediate need for a talented Customer Service Advocate I . This is a 0 6+ Months contract opportunity with long-term potential and is located in Columbia, SC (Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID: 24-20142 Pay Range: $14 - $17/hour. Employee benefits include, but are...
-
Claims Processor I
3 days ago
Columbia, United States US Tech Solutions, Inc. Full timeJob Title: Claims Processor I Location: Columbia, SC 29229 Duration: 11 Months Contract Job Description: Responsible for the accurate and timely processing of claims. Research and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes. Responsibilities:...
-
Client Advocate I
4 weeks ago
Columbia, United States Hansen Talent Group Full timeJob DescriptionJob DescriptionHansen Talent Group is hiring a Client Advocate to work with a large enterprise in Columbia, SC. This is a hybrid opportunity and will require 3 days/week onsite.Duties:Responsible for establishing, building, and maintaining sustainable customer relationships. Ensures appropriate customer communication, customer focus, and...
-
Customer Service Advocate I
2 weeks ago
Columbia, United States LanceSoft Full timeProvides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. Ensures effective customer relations by responding accurately, timely and courteously to telephone, written, web, or walk-in inquiries. Accurately documents inquiries. Initiates or processes adjustments or performs other...
-
Customer Service Advocate I
1 day ago
West Columbia, United States Experis Full timeTitle: Customer Service Representative Location: Columbia SC Duration: 6+ months Pay Rate : $15.50/hr (On W2) We are looking for a "Customer Service Representative "to join one of our Fortune 500 clients. Job Responsbilities: Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve...
-
Claims Processor I
2 days ago
Columbia, United States Pyramid Consulting, Inc Full timeImmediate need for a talented Claims Processor I . This is a 12+ Months contract opportunity with long-term potential and is located in Columbia South Carolina (Onsite) . Please review the job description below and contact me ASAP if you are interested. Job ID: 24-23827 Pay Range: $18/hour. Employee benefits include, but are not...
-
Customer Service Advocate I
4 weeks ago
West Columbia, United States LanceSoft Full timeProvides prompt, accurate, thorough and courteous responses to all customer inquiries. Performs research as needed to resolve inquiries. 65% Ensures effective customer relations by responding accurately, timely and courteously to telephone, written, web, or walk-in inquiries. Accurately documents inquiries. 15% Initiates or processes adjustments or performs...
-
Client Advocate
4 weeks ago
Columbia, United States Hansen Talent Group Full timeJob DescriptionJob DescriptionHansen Talent Group is looking to hire a Client Advocate to work with one of the largest enterprises in Columbia, SC. This is a hybrid role position requiring 2 days/week onsite in Columbia.This role will act as a liaison between clients and the I/S organization, providing business direction to systems and programming areas on...