Claims Customer Service Representative
- Provide claims information through telephone inquiry from providers of service.
- Provide claim information through inquiries receive via facsimile from providers of service.
- Recognize potential problems and refers them to the appropriate person to include Claims Management for resolution, and follows up to assure resolution.
- Maintains a broad knowledge of all systems used in the adjudication of claims.
- Maintains quality standards of claims calls handled.
- Maintain a log of calls for use in the reporting and tracking of calls handled.
- Liaison to other departments outside of the claims department.
- Provides back-up to the Claims Department staff, (claims examiners, data entry & clerical)
- High school diploma or general education degree (GED)
- Minimum 5 years experience in medical claims environment.
- Minimum 3 years customer service experience.
- Demonstrated knowledge of ICD-9, CPT-4 and HCPCS coding
- Fluent in both English and Spanish.
Hours for this Position:
Monday-Friday 8:30am-5:00pm
Advantages of this Opportunity:
• Competitive salary $15 - $17 per hour (depending on relevant experience)
• Right to Hire position
• Growth potential
• Fun and positive work environment