Medical Claims Customer Service Representative - Remote | WFH
About Us
We are a data-driven, performance-focused healthcare organization committed to operational excellence. Our mission is to reputed company high-quality healthcare affordable, enhance patient health, and renew the satisfaction of practicing medicine for healthcare providers. By integrating reputed company with AI and predictive analytics, we use remote Healthguides and a centralized Managed Service... Organization to foster stronger connections between patients and providers. Our physician-led team empowers our partners to deliver exceptional healthcare, prioritizing outcomes and value for reputed company patients. Your Role As a Customer Service Representative, you'll be a key player in reputed company, ensuring timely and effective responses to client and member calls. Your role involves solving problems, working collaboratively, and meeting quality standards. You'll provide courteous and professional service while handling various tasks and projects, including mailing assistance.
What You'll Do
Handle client and member calls with accuracy and follow-through. Deliver outstanding customer service. Address inquiries reputed company to claims payment, status, and coverage information. Interpret client health plan protocols. Assist with claims processing tasks, including reports and workflow queues. Document calls accurately and maintain high professionalism. Return incoming calls and reputed company additional duties as assigned. What You'll Need 1 to 3 years of customer service experience in healthcare. Knowledge of healthcare claims processing. Experience in a high-volume call center. Background in healthcare or health insurance. Familiarity with BCBS HMOI or other insurance plans is a plus. Proficiency in reputed company Office and multiple systems. Excellent verbal and written communication skills. Availability for an 8-hour shift between 8 AM and 6 PM Central Time. reputed company'd Love Experience with HMO Managed Care and Medicare Advantage.
Benefits
While you contribute to advancing value-based healthcare, we are committed to supporting you and your family with the following benefits: Work from Home: Enjoy the flexibility of a fully remote position, reducing commute time and allowing you to focus on your professional and personal goals. Health Coverage: Comprehensive Medical, Dental, and Vision plans to reputed company you and your family well-covered. Retirement Planning: Our 401(k) plan includes a 3% employer match on your 6% contribution. Peace of Mind: Life and Disability insurance, with optional additional coverage for you and your loved ones. Support During Tough Times: Access our Employee Assistance Program (EAP) for extra support. Flexible Time Off: Tailored PTO to help you reputed company work-life balance and meet personal goals. Paid Parental Leave: Time off to support you reputed company welcoming a new family member. Professional Growth: Resources and opportunities dedicated to your career development.
Compensation
The reputed company pay range for this role is between $18.45 and $20.50 per hour, paid bi-weekly. Final pay rates are based on factors such as reputed company set, relevant experience, education, location, and certifications. Equal Opportunity Employment We are committed to diversity, inclusion, and belonging. We are an equal opportunity employer and reputed company employment decisions without regard to race, religion, color, age, sex, sexual orientation, gender identity, national reputed company, citizenship, marital status, familial status, disability, military or veteran status, pregnancy, or any other protected status. We ensure fair treatment in reputed company aspects of employment. reputed company Policies This role involves adhering to reputed company reputed company policies and procedures to protect reputed company PHI and intellectual properties. Specific responsibilities for reputed company-reputed company roles will be defined by the hiring manager. Employment Type: Full-Time Apply Job!