Claims Call Center Representative
1 week ago
We are seeking a highly skilled Claims Call Center Representative to join our team at AllCare Health. As a Claims Call Center Representative, you will be responsible for handling phone calls from provider offices and their representatives, ensuring prompt responses to inquiries and achieving a 95% daily call resolution rate.
Key Responsibilities- Document calls in the incident module of the core claims system, reprocessing claims as necessary and providing excellent customer service.
- Respond to provider/caller inquiries by understanding their needs, reviewing previous inquiries and responses, gathering information, researching, assembling and forwarding information, and verifying customer understanding.
- Accurately record every provider/caller inquiry by documenting inquiry and response in the customer service module and claim notes as applicable.
- Accurately and efficiently adjudicate all professional claims, applying benefits and pricing according to company policy, contract language, and state Medicaid/Medicare guidelines.
- An Associate's degree (AA) or its equivalent from a two-year college or technical school; alternatively, six months to one year of related experience and/or training; or an equivalent combination of education and experience.
- Preference is given to candidates with at least one year of Ez-Cap experience.
- A Professional Coder Certification is required or to be obtained within 12 months of hire date.
The employee must occasionally lift and/or move up to 10 pounds. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand; walk and reach with hands and arms. The noise level in the work environment is usually moderate.
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Claims Call Center Representative
1 week ago
Grants Pass, Oregon, United States AllCare Health Full timeJob SummaryWe are seeking a highly skilled Claims Call Center Representative to join our team at AllCare Health. As a Claims Call Center Representative, you will be responsible for handling phone calls from provider offices and their representatives, ensuring prompt responses to inquiries and achieving a 95% daily call resolution rate.Key...
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Client Support Representative
2 weeks ago
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Customer Service Representative
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Customer Service Representative
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Client Support Representative
1 week ago
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Client Relations Representative
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Customer Service Representative
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Hand Surgery Orthopedic Specialist
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Client Support Representative
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Client Support Representative
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Client Support Representative
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Client Support Representative
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Client Support Representative
2 weeks ago
Grants Pass, Oregon, United States Russell Tobin Full timeRussell Tobin's client, a prominent Italian eyewear company, is actively seeking a Customer Service Specialist. Position Type: Contract/ Onsite Compensation: $16.00/hr Key Responsibilities: Deliver exceptional customer service by managing incoming calls and processing orders, addressing customer inquiries and concerns.Engage with customers through multiple...
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Client Support Representative
2 weeks ago
Grants Pass, Oregon, United States Russell Tobin Full timeRussell Tobin's client, a prominent Italian eyewear company, is actively seeking a Customer Service Specialist.Employment Type: Contract/ OnsiteLocation: Grants Pass, ORCompensation: $16.00/hrKey Responsibilities:Deliver exceptional customer service by managing incoming calls and processing orders, addressing customer inquiries and concerns.Engage with...
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Client Support Representative
2 weeks ago
Grants Pass, Oregon, United States Russell Tobin Full timeRussell Tobin's client, a prominent Italian eyewear company, is actively seeking a Customer Service Specialist. Position Type: Contract/ Onsite Compensation: $16.00/hr Key Responsibilities: Deliver exceptional customer service by managing incoming calls and processing orders, addressing customer inquiries and concerns.Engage with customers through multiple...
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Medical Office Professional
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