Healthcare Customer Service Specialist IV

2 weeks ago


Louisburg, North Carolina, United States Franklin County Full time

Position Overview:
The main duty of this role is to engage in the clinical management support billing sector and confirm insurance eligibility.

Key Responsibilities:
This role will also support the processing of insurance claims.

Essential Knowledge and Skills:
• Comprehensive understanding of office or departmental procedures, methods, and practices.
• Proficient in utilizing correct grammar, vocabulary, spelling, and office terminology to draft and/or review correspondence, reports, and other documents.
• Strong grasp of accounting practices, mathematics, and their relevance in the workplace.
• Ability to learn and independently implement laws and departmental regulations pertaining to programs and services.
• Competence in reviewing and processing information to draw conclusions, actions, or ensure compliance with relevant laws, rules, or regulations.
• Capability to apply various work-related formulas or mathematical computations.
• Skill in recording, compiling, summarizing, and conducting basic data analysis.
• Ability to interact independently with individuals courteously and tactfully in performing public contact duties that may be sensitive in nature.

Qualifications:
A high school diploma along with knowledge, skills, and abilities acquired through a minimum of two years of experience in an office assistant or secretarial role; or an equivalent combination of training and experience is required.
A valid driver's license is mandatory upon hiring.

Immunization Requirements:
All employees must provide proof of the following immunizations prior to their first day of employment:
• Two-step TST (skin test) - If a negative TST has been completed within the last 12 months, another must be done before employment.
• Proof of MMR (measles, mumps, and rubella) immunity - Documentation of two doses administered at least 28 days apart or laboratory evidence of immunity or confirmation of disease is required.
• Hepatitis B series - Evidence of three doses, a signed declination form, or lab evidence of immunity.
• Evidence of Tdap vaccine.
• Evidence of varicella immunity - Documentation of two doses given at least 28 days apart or a history of varicella or herpes zoster based on physician diagnosis or laboratory evidence of immunity or confirmation of disease.



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