Remote - Customer Service Representative - Healthcare
About the Role:
? Responsible for answering member, provider & broker inquiries pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment.
? Proactively provides information and education to members, providers & brokers, as appropriate, about a variety of health, financial, and self-service programs. Provides basic technical assistance and troubleshooting guidance for digital and electronic applications.
Responsibilities: ? Provides first- level problem resolution to member, provider & broker inquiries via telephone by gathering and researching information; examine claim submissions verifying claim and system accuracy as well as liability, validate customer understanding of information and resolves issues based on applicable policies and procedures. ? Uses knowledge of products and the contractual provisions that govern administration to provide customer service and education, to interpret contractual language to the customer for the purpose of providing benefit utilization and limitations, to determine the need for managed care initiatives, and to administer all types of services to customers within the business segment through telephonic inquiries, written and/or electronic inquiries and claims adjustments, if applicable. Appropriately documents all client interactions according to established departmental procedures. ? Delivers accurate information to customers in accordance with performance goals and objectives. ? Maintains customer records by updating account information by effectively utilizing the business areas enrollment/inquiry tracking system & processes. ? Participates in ongoing education related to new services, industry topics, and skills
Education Qualification:
? High School Diploma or GED
Pay range:
? $18-$21/hr.
Similar Remote Jobs
Remote - Customer Service Representative - Healthcare
Posted on: 13-12-2024 17:47
Staff Program & Portfolio Manager, Security
Posted on: 13-12-2024 17:47
Senior Revenue Accountant
Posted on: 13-12-2024 17:47
Associate, Integrated Finance & Strategy
Posted on: 13-12-2024 17:47
Program Manager, Recruiting Technology
Posted on: 13-12-2024 17:47
Student Services Manager
Posted on: 13-12-2024 17:47
Frontend Developer (React | 100% remote | PT)
Posted on: 13-12-2024 17:47
iOS and Android Developer
Posted on: 13-12-2024 17:47
Salesperson | 800 to 600 Weekly | Remote | No Experience Required
Posted on: 13-12-2024 17:47
Product Manager - Content Moderation at Twitch in Seattle
Posted on: 13-12-2024 17:47
Virtual Assistant - Work from Home - Anywhere in United States of America
Posted on: 29-11-2024 08:27
Chat Support Agent (Remote) - 15 - 18/hr
Posted on: 20-08-2024 00:00
Walt Disney Imagineering is hiring: Technical Quality Studio Coordinator in Gold
Posted on: 01-11-2024 07:55
General Tutors and Study Skills Tutors Wanted (REMOTE) - Charlotte, North Carolina
Posted on: 14-02-2025 07:17
Fresh Remote Data Entry Jobs for Teens at Home Entry Level
Posted on: 01-07-2024 16:52
Specialist Sales Executive Digital
Posted on: 19-11-2024 06:06
German speaking B2B Sales Representative - Remote
Posted on: 16-11-2024 19:13
Customs Compliance Specialist
Posted on: 05-12-2024 05:15
Customer Service Representative- South Carolina
Posted on: 30-12-2024 06:50
Specialist, Government and Corporate Affairs Customer Service
Posted on: 31-01-2025 10:00