Claims Customer Service Advocate II

4 weeks ago

West Columbia, United States Spectraforce Technologies Full time
Title: Claims Customer Service Advocate II
Location: Columbia, SC, 29229
Duration: 6 months assignment
Shift: Mon-Fri 8-4:30p

Note: Training 6 weeks onsite. No option for Remote.
Top 2-4 PREFERRED/NICE TO HAVE skill sets/qualities: Medical background, office experience, customer service, previous call center experience Please provide a few sentences describing what a typical day would like in this role: Candidate would handle provider service calls, responding and answering any questions providers may have.

Duties:
  • Responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny, or pay claims following organizational policies and procedures.
  • 45% Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written web, or walk-in inquiries. Handles situations that may require adaptation of response or extensive research. Identifies incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines.
  • 45% 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 processed according to established quality and production standards.
  • 10% 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 reports potential fraud and abuse situations.
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: 2 years of customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work experience.

  • Claims Customer Service Advocate II

    1 week ago

    West Columbia, South Carolina, United States Spectraforce Technologies Full time

    Title: Claims Customer Service Advocate IILocation: Columbia, SC, 29229Duration: 6 months assignmentShift: Mon-Fri 8-4:30p Note: Training 6 weeks onsite. No option for Remote. Top 2-4 PREFERRED/NICE TO HAVE skill sets/qualities: Medical background, office experience, customer service, previous call center experience Please provide a few sentences describing...

  • Claims Customer Service Advocate II

    3 weeks ago

    Columbia, United States Spectraforce Technologies Full time

    Title: Claims Customer Service Advocate IILocation: Columbia, SC, 29229Duration: 6 months assignmentShift: Mon-Fri 8-4:30p Note: Training 6 weeks onsite. No option for Remote. Top 2-4 PREFERRED/NICE TO HAVE skill sets/qualities: Medical background, office experience, customer service, previous call center experience Please provide a few sentences...

  • Claims Customer Service Advocate II

    3 weeks ago

    Columbia, United States Spectraforce Technologies Full time

    Title: Claims Customer Service Advocate IILocation: Columbia, SC, 29229Duration: 5 months assignment (Contract To Perm)Shift: Start time- 7:45am or 8:00am (Monday- Friday)Note: Onsite role. Skill sets/qualities: Data Entry Experience, Organizational Skills. Ability to follow instructions with limited supervision. Flexibility when daily responsibilities...

  • Claims Customer Service Advocate

    3 weeks ago

    West Columbia, United States Mindlance Full time

    Job 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,...

  • Claims Customer Service Advocate II

    4 weeks ago

    Columbia, United States Experis Full time

    Job Title: Claims Customer Service Advocate  Location: 4101 Percival Road Columbia SC 29229 United States  Duration: 6 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 weeks ago

    Columbia, United States Experis Full time

    Job Title: Claims Customer Service Advocate Location: 4101 Percival Road Columbia SC 29229 United States Duration: 6 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

    1 month ago

    Columbia, United States Mindlance Full time

    Job 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

    2 months ago

    Columbia, United States Mindlance Full time

    Job 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

    4 weeks ago

    Columbia, United States Mindlance Full time

    Job 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...

  • Customer Service Advocate II

    1 week ago

    Columbia, South Carolina, United States ASK Consulting Full time

    Exciting Opportunity as a Customer Service Advocate II at ASK ConsultingLocation: Columbia SC 29229Duration: 6 months Contract to hireSalary Range: $17/hr. to 18/hr. on W2Responsibilities:Deliver prompt, accurate, and friendly responses to complex customer inquiriesConduct research to resolve inquiries and provide timely responsesMaintain departmental...

  • Claims Customer Service Advocate II

    2 weeks ago

    West Columbia, United States US Tech Solutions Full time

    Job Description: 8 hrs. per day/ 40 hrs. per week (Start Time: 7:45am or 8:00am) ONSITE . Please list out the top 2-4 PREFERRED/NICE TO HAVE skill sets/qualities: Data Entry Experience Organizational Skills Ability to follow instructions with limited supervision. Flexibility when daily responsibilities change. Typical day would like in this role:...

  • Customer Service Advocate II

    1 week ago

    West Columbia, United States Experis Full time

    Experis IT ManpowerGroup has partnered with a leading Medical insurance organization in the Columbia, SC for a Customer Service Advocate II role to assist their team. This is an on-site role. Industry: Medical insurance Title: Customer Service Advocate II Pay Rate:$18/hr on W2 Location: Columbia, SC Duration: Contract with potential for...

  • Claims Customer Service Advocate I

    4 weeks ago

    Columbia, United States Spectraforce Technologies Inc Full time

    Title: Claims Customer Service Advocate I Location: Columbia, SC, 29229 Duration: 3 months assignment(Contract to hire) Shift MONDAY-FRIDAY, 7:30 AM-4PM ONSITE INTERVIEWS WILL BE CONDUCTED ONSITE POSITION, MUST BE A LOCAL CANDIDATE. COULD HAVE POTENTIAL FOR REMOTE, BUT NOT GUARANTEED Note: This position could involve preparing documents for imaging,...

  • Claims Customer Service Advocate I

    4 weeks ago

    Columbia, United States Spectraforce Technologies Inc Full time

    Title: Claims Customer Service Advocate I Location: Columbia, SC, 29229 Duration: 3 months assignment(Contract to hire) Shift MONDAY-FRIDAY, 7:30 AM-4PM ONSITE INTERVIEWS WILL BE CONDUCTED ONSITE POSITION, MUST BE A LOCAL CANDIDATE. COULD HAVE POTENTIAL FOR REMOTE, BUT NOT GUARANTEED Note: This position could involve preparing documents for imaging,...

  • Claims Customer Service Advocate I

    4 weeks ago

    Columbia, United States Spectraforce Technologies Inc Full time

    Title: Claims Customer Service Advocate I Location: Columbia, SC, 29229 Duration: 3 months assignment(Contract to hire) Shift MONDAY-FRIDAY, 7:30 AM-4PM ONSITE INTERVIEWS WILL BE CONDUCTED ONSITE POSITION, MUST BE A LOCAL CANDIDATE. COULD HAVE POTENTIAL FOR REMOTE, BUT NOT GUARANTEED Note: This position could involve preparing documents for imaging,...

  • Claims Customer Service Advocate I

    3 weeks ago

    Columbia, United States Spectraforce Technologies Full time

    Title: Claims Customer Service Advocate I Location: Columbia, SC, 29229 Duration: 3 months assignment(Contract to hire) Shift MONDAY-FRIDAY, 7:30 AM-4PM ONSITE INTERVIEWS WILL BE CONDUCTED ONSITE POSITION, MUST BE A LOCAL CANDIDATE. COULD HAVE POTENTIAL FOR REMOTE, BUT NOT GUARANTEED Note: This position could involve preparing documents for imaging,...

  • Claims Customer Service Advocate I

    2 weeks ago

    Columbia, United States Spectraforce Technologies Full time

    Title: Claims Customer Service Advocate I Location: Columbia, SC, 29229 Duration: 12 months assignment (Contract to Perm) Shift Monday- Friday, 7:30am-4:00pm Duties: Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or...

  • Claims Customer Service Advocate I

    3 weeks ago

    Columbia, United States Spectraforce Technologies Inc Full time

    Title: Claims Customer Service Advocate I Location: Columbia, SC, 29229 Duration: 12 months assignment (Contract to Perm) Shift Monday- Friday, 7:30am-4:00pm Duties: Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims...

  • Claims Customer Service Advocate I

    4 weeks ago

    Columbia, United States Manpower Group Inc. Full time

    Our client, Health care industry is seeking a Claims Customer Service Advocate to join their team. Job Title: Claims Customer Service Advocate Location: Columbia , SC Pay Range: $16/hr on w2 Key Responsibilities: Inquiry Response (40%): Respond to written and telephone inquiries according to established desk procedures. Ensure that all responses meet...

  • Claims Customer Service Advocate I

    4 weeks ago

    Columbia, United States Manpower Group Inc. Full time

    Our client, Health care industry is seeking a Claims Customer Service Advocate to join their team. Job Title: Claims Customer Service Advocate Location: Columbia , SC Pay Range: $16/hr on w2 Key Responsibilities: Inquiry Response (40%): Respond to written and telephone inquiries according to established desk procedures. Ensure that all responses meet...