Customer Service Intermediate level
Answering inbound calls regarding medical coverage, billing and updating clients information
Responsibilities include, but are not limited to,Responsible for answering telephone inquires via the claims call center and meeting and maintain all required metrics, including call quality standards.Responsible for review and resolution of all provider correspondence related to claims reimbursement.Identify areas of repetitive billing issues and rejected claim submissions to provide suggestions for provider education. Work directly with Provider Engagement and Contracting to achieve effective outreach to the provider for improvement and increased first submission claim adjudication.
Working hours: 8:30 AM - 6:00 PM
Previous Medical Insurance experience
Able to work with two computer monitors
High School Diploma or GED
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