Medical Claims Specialist
4 weeks ago
We are seeking a skilled Client Services Representative to join our team at PrideStaff. As a Client Services Representative, you will be responsible for providing exceptional customer service to clients, policyholders, and healthcare providers.
Key Responsibilities:
- Collaborate with clients, policyholders, and healthcare providers to resolve medical cases and provide referrals to clinics and hospitals.
- Ensure timely and accurate responses to client inquiries and provide updates on claim status.
- Develop and maintain effective relationships with colleagues and network partners.
- Review and resolve medical cases in cooperation with other team members and network partners.
Requirements:
- 1+ years of experience processing medical claims or customer service experience in a business-to-business setting.
- Familiarity with computer applications and ability to navigate complex systems.
- Demonstrated ability to listen skillfully, collect relevant information, and respond to customers in a compassionate manner.
- Proficient in translating health care-related jargon and complex processes into simple instructions.
- Flexible and able to work in a fast-paced environment.
Compensation: $20-23 per hour, depending on experience, plus a competitive benefits package.
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