Health Claims Customer Service Representative
3 weeks ago
Job Title: Health Claims Customer Service Representative
Job Summary: Ideal Staffing Inc is seeking an experienced Health Claims Customer Service Representative to work with members and providers in a prompt, accurate and courteous manner to answer questions, provide health claims status, eligibility and resolve issues as reported.
Key Responsibilities:
- Answering customer service call center line.
- Documenting details in a call log for every inbound and outbound call.
- Distribution of inbound faxes, keeping a record of receipt of forwarded faxes.
- Documenting details of call center voicemails on scheduled days.
- Return calls and provide claims status as assigned.
- Scanning all documentation daily into specified electronic file.
- Maintaining knowledge of current plan year policies and provisions.
- Maintaining professional demeanor both in person and over the phone.
- Performing any other duties as required or assigned.
- Reporting status of ongoing tasks to Customer Service Supervisor.
- Adhering to quality standards and confidentiality policies and procedures.
- Supporting help for other staff as needed.
Requirements:
- High school diploma or GED.
- Two (2) years of related call center experience, including but not limited to customer service, front desk or receptionist. Medical insurance knowledge required.
- Proficient in Microsoft Office, excellent customer service skills, excellent business etiquette.
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