Medical Insurance Professional

7 days ago


Rockville, Maryland, United States ROCS Grad Staffing Full time

Job Summary:

We are seeking a seasoned Medical Insurance Professional with expertise in handling medical insurance inquiries, claims, and billing. The ideal candidate will possess exceptional communication skills, a deep understanding of medical insurance processes, and the ability to provide top-notch customer service in a fast-paced environment.

Key Responsibilities:

  • Handle inbound and outbound calls related to medical insurance inquiries, claims, and billing.
  • Assist patients, providers, and insurance companies with questions regarding insurance coverage, benefits, and eligibility.
  • Process insurance claims, authorizations, and referrals accurately and efficiently.
  • Resolve customer complaints and issues with professionalism and empathy.
  • Maintain detailed and accurate records of customer interactions and transactions in the database.
  • Provide information and guidance on insurance policies, procedures, and regulations.
  • Collaborate with other departments to ensure seamless customer service and issue resolution.
  • Stay up-to-date with changes in insurance policies and procedures to provide accurate information to customers.

Qualifications:

  • A minimum of 1 year of experience in a medical insurance call center environment is required, preferably with Aetna, Blue Cross Blue Shield, UHC, Kaiser, or other medical insurance plans.
  • A high school diploma or equivalent; an Associate's or Bachelor's degree is preferred.
  • A minimum of 2 years of experience in a call center or customer service role, with a focus on medical insurance.
  • Strong knowledge of medical insurance terminology, processes, and regulations.
  • Excellent verbal and written communication skills.
  • Proficiency in using customer service software and databases.
  • Ability to multitask and manage time effectively in a fast-paced environment.
  • Strong problem-solving skills and attention to detail.
  • Ability to work independently and as part of a team.
  • Bilingual skills are a plus but not required.

Salary Estimate:

The estimated salary for this position is between $50,000 and $70,000 per annum, depending on location and experience.

About ROCS Grad Staffing:

ROCS Grad Staffing is a leading staffing agency specializing in placing qualified professionals in various industries. We pride ourselves on our commitment to delivering exceptional customer service and building long-lasting relationships with our clients and candidates.



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