Medical Claims Specialist

2 weeks ago


Plano, United States Paramount Staffing LLC Full time
Job DescriptionJob Description
Are you an experienced call center representative in the healthcare industry looking to dive into your next opportunity? Paramount is seeking experienced Medical Claims Specialists to provide top-notch support to our valued clients.

Position Overview: You will be responsible for 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.


Qualifications:
  • High School Diploma or equivalent
  • 3 years of experience in a medica/healthcare call center environment
  • Familiarity with medical terminology, Explanation of Benefit (EOB) and the types of standard billing forms used by doctors and hospitals.

#CORP # ZR

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