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Medical Claims Specialist
5 days ago
Position Overview: You will be responsible for assisting callers with inquiries, complaints, or problems and provide an accurate and efficient response. This position will handle a high volume of inbound calls and should seek to create a positive
experience for each caller.
Pay: 18/hr. (Paid Weekly)
Location: Plano, TX - 100% ONSITE
Key Responsibilities:
- Professionally handles all incoming calls from claimants or medical provider and ensures that issues are resolved both promptly and thoroughly.
- Thoroughly and efficiently gathers customer information and then assess and fulfills customer needs.
- Provides a complete and accurate response to all questions.
- Creates tickets to the Claims Department for further handling of an issue identified during the call.
- Ensures that all follow-up calls/actions are done in a timely manner.
- Documents all calls and any follow-up actions.
- Maintains a balance between company policy and customer benefit in decision making and handles issues in the best interest of both the customer and company.
- Strives to meet or exceed call center metrics while providing excellent customer service.
- High School Diploma or equivalent
- 3 years of experience in a medical/healthcare call center environment
- Familiarity with medical terminology, Explanation of Benefit (EOB) and the types of standard billing forms used by doctors and hospitals.
#ZR # corp
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