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Responsible for successfully completing the required basic training.
Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues.
Must pass the appropriate pre-employment test battery.
Primary duties may include, but are not limited to:
-Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
-Analyzes problems and provides information/solutions.
-Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database.
-Thoroughly documents inquiry outcomes for accurate tracking and analysis.
-Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
-Researches and analyzes data to address operational challenges and customer service issues.
-Provides external and internal customers with requested information.
-Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature.
-Uses computerized systems for tracking, information gathering and troubleshooting.
-Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims.
-Seeks, understands and responds to the needs and expectations of internal and external customers. Required to meet department goals.
-Required to meet department goals.
-Requires a HS diploma or equivalent; up to 1 year of previous experience in an automated customer service environment; or any combination of education and experience, which would provide an equivalent background.
For URAC accredited areas the following applies: Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
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