Healthcare Support Representative
4 days ago
About nTech Workforce
">nTech Workforce is a dynamic and growing organization dedicated to delivering exceptional workforce solutions. As a Medicare Appeal Specialist, you will play a critical role in supporting the Medicare Appeal process by delivering exceptional customer service and resolving complex issues.
">Job Summary
">We are seeking a highly skilled and experienced Medicare Appeal Specialist to join our team. As a key member of our support team, you will be responsible for answering incoming telephone calls, resolving customer questions, complaints, and requests while adhering to internal policies and procedures.
">Key Responsibilities
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- Develop and maintain a working knowledge of internal policies, procedures, and services (both departmental and operational).">
- Utilize automated systems to log and retrieve information, performing accurate and timely data entry of electronic faxes.">
- Receive inquiries from customers or providers by telephone, email, fax, or mail and communicate responses within required turnaround times.">
- Respond to telephone inquiries and complaints in a prompt, accurate, and courteous manner following standard operating procedures.">
- Interact with hospitals, physicians, beneficiaries, or other program recipients, investigating and resolving or reporting customer problems, identifying and escalating difficult situations to the appropriate party.">
- Meet or exceed standards for call volume and service level per department guidelines.">
- Initiate files by collecting and entering demographic, provider, and procedure information into the system.">
- Serve as liaison between the Review Supervisors and external providers.">
- Maintain logs and documents disposition of incoming and outgoing calls.">
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Requirements
">To be successful in this role, you will need:
">- ">
- A High School diploma or equivalent.">
- 2+ year's customer service/telephone experience in a similar call center environment and/or industry.">
- The ability to effectively communicate with team members and external customers.">
- The ability to research and resolve issues related to Medicaid program and service eligibility.">
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Compensation and Benefits
">You will be offered a competitive salary of $17/hour on W2 - all-inclusive, providing you with a stable financial foundation to excel in your role. In addition, you will enjoy a range of benefits, including access to ongoing training and development opportunities, a comprehensive compensation package, and the chance to work with a talented and dedicated team.
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