Claims Customer Service Advocate I
3 weeks ago
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.
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.
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Claims Customer Service Advocate I
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Claims Customer Service Advocate I
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Claims Customer Service Advocate I
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Columbia, United States Spectraforce Technologies Inc Full timeTitle: 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,...
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Claims Customer Service Advocate I
2 days ago
Columbia, United States Spectraforce Technologies Inc Full timeTitle: 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,...
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Claims Customer Service Advocate I
3 weeks 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;...
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Claims Customer Service Advocate I
3 days ago
Columbia, United States Manpower Group Inc. Full timeOur 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...
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Claims Customer Service Advocate I
2 days ago
Columbia, United States Manpower Group Inc. Full timeOur 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...
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Claims Customer Service Advocate I
1 week ago
Columbia, United States Experis Full timeOur 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...
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Claims Customer Service Advocate I
1 week ago
Columbia, United States Experis Full timeOur 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...
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Claims Customer Service Advocate I
3 days ago
Columbia, United States Experis Full timeOur 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...
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Claims Customer Service Advocate I
2 days ago
Columbia, United States Experis Full timeOur 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...
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Claims Customer Service Advocate
1 month 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...
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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...
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Claims Customer Service Advocate
2 days 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...
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Claims Customer Service Advocate II
3 weeks 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...
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Claims Customer Service Advocate II
2 weeks ago
Columbia, United States Manpower Group Inc. 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...
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Claims Customer Service Advocate II
1 week ago
Columbia, United States Experis Full timeJob 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...
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Claims Customer Service Advocate II
6 days ago
Columbia, United States Experis Full timeJob 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...
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Claims Customer Service Advocate II
9 hours ago
Columbia, United States Experis Full timeJob 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...
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Claims Customer Service Advocate
1 month 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...