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Inbound Medical Insurance Call Center Specialist
2 months ago
We are looking for a skilled Inbound Medical Insurance Call Center Specialist to enhance our medical insurance department.
The successful candidate will leverage their healthcare expertise to assist clients with inquiries regarding their insurance, claims, and coverage, ensuring they receive precise and empathetic support.
This position entails managing a significant volume of calls and necessitates a robust comprehension of medical terminology and insurance protocols.
Key Responsibilities:
Address customer inquiries concerning medical insurance coverage, benefits, claims, and billing, utilizing your healthcare knowledge to deliver accurate information.
Process and validate insurance claims, ensuring all details correspond with medical records and coding.
Resolve customer issues, including discrepancies in claims or coverage, in a professional and compassionate manner.
Guide customers through the claims process, eligibility, and benefits, using your medical experience to clarify complex medical terms and procedures.
Document customer interactions and maintain precise records in the system.Escalate intricate or sensitive matters to the appropriate department or supervisor as necessary.
Stay informed about changes in medical insurance policies and procedures, as well as medical guidelines and terminology.
Achieve or surpass performance metrics, including call handling time, customer satisfaction, and accuracy.
Working hours: 8:00 AM - 5:00 PM
Required Skills:
Experience in a Medical Office
Call center experience
Education:
High School diploma
Experience:
1-4 years
Qualifications:
High school diploma or equivalent; additional education or certification in a medical-related field is highly preferred.
Prior experience in a call center or customer service role within the medical insurance sector is required.
Strong understanding of medical terminology, procedures, and coding.
Excellent communication skills, with the ability to clearly articulate medical and insurance information to customers.
Proficient in utilizing computer systems, including customer management software, medical billing systems, and Microsoft Office.
Ability to multitask, prioritize, and manage time effectively in a fast-paced environment.
Attention to detail and strong problem-solving skills.
Bilingual (English/Spanish) is a plus.
Equal Opportunity Employer:
We welcome individuals of all abilities and strive to ensure that our hiring and interview process accommodates the needs of all applicants.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc.
In addition, we offer a comprehensive benefits package, including health, and an incentive and recognition program (all benefits are based on eligibility).
