salary: $28 - $30 per hour
shift: First
work hours: 8 AM - 5 PM
education: Bachelors
Responsibilities
Key Responsibilities
- Develop and maintain knowledge of benefit plan provisions, eligibility systems, claims systems, and the Reciprocity system (ERTS).
- Respond promptly and accurately to participant inquiries via phone, email, walk-ins, and correspondence.
- Explain claim payments/denials, verify eligibility and benefits, quote self-pay amounts, and resolve issues.
- Document all communications in the Customer Service module.
- Process enrollment forms, working spouse forms, disability claims, and other clerical tasks.
- Navigate and provide accurate information regarding the FMCP website.
- Monitor and manage calls via the call management system.
- Handle after-hours messages from the nightline.
- Assist with special projects and other duties as assigned.
Qualifications
- Required:
- 1+ years of experience in a medical billing or medical insurance call center environment, OR 1+ years of processing medical claims
- Bachelor’s degree or equivalent experience
- Written and verbal communication skills
- Proficiency in Microsoft Office
- Typing speed of at least 40 WPM (typing assessment required)
- Dependable with consistent attendance
- Preferred:
- bilingual is a plus
- Previous TPA or major insurance carrier experience
- Ability to troubleshoot, investigate, and resolve participant/vendor issues collaboratively
Skills
Qualifications
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
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, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
