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
Tourism & Marketing Coordinator (wfh)
Posted on: 28-01-2025 06:21
Data Science & AI Intern (Apply in 3 Minutes) - [WU-497]
Posted on: 03-01-2025 07:36
Remote Insurance Agent - No Experience Necessary
Posted on: 16-07-2024 18:56
Flexible Part-Time Data Entry & Administrative Assistant
Posted on: 19-11-2024 06:07
Northern Kentucky Work at Home Part Time Customer Service
Posted on: 31-01-2025 10:01
Environmental Services Assoc - Einstein Medical Center - Full Time Evenings
Posted on: 08-12-2024 17:20
Customer Service Representative
Posted on: 18-09-2024 00:00
Brand Ambassador(Part-time job)
Posted on: 22-11-2024 05:33
Remote Project Participant
Posted on: 11-01-2025 15:32
American Airlines Entry Level Jobs In Summerville $28/Hour
Posted on: 08-11-2024 05:10