Claims Resolution Liaison
5 days ago
At MedPOINT Management, we're seeking a skilled Claims Resolution Liaison to join our team. As a key member of our IPA (Independent Physician Association) department, you'll play a vital role in ensuring that our Members and Providers receive exceptional service.
This role involves serving as a liaison between IPA and its Members and Providers. You'll be responsible for responding to and resolving questions and problems from current Providers/Members or their representatives and other appropriate parties.
Key responsibilities include:
- Multitasking in a fast-paced Call Center Environment
- Explaining how the plan works and how to utilize the service
- Clarifying benefits, eligibility, verification, and claim status
- Participating as a team player by demonstrating support to peers, management, and department goals
- Attending meetings and training sessions as scheduled
- Assisting with training new employees as needed
- Documenting all Provider/Member inquiries and complaints in appropriate systems
We're looking for someone with:
- A high school diploma
- Two years of Customer Service/Telemarketing sales or related experience
- Knowledge of Medi-Cal, Managed Care plans, CPT Codes, and ICD-10
The ideal candidate will possess excellent telephone techniques, interpersonal, and communication skills. Bilingual Spanish proficiency is preferred.
Salary: $55,000 - $65,000 per annum, depending on experience.
Location: Our office is located in [insert location].
We offer a competitive salary, medical benefits, and opportunities for professional growth and development. If you're passionate about delivering exceptional customer service and working in a dynamic team environment, apply now
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