Job Description
Description
+ Answer incoming phone calls from members covered by our client company health benefit plans and identify the type of assistance the customer needs
+ Make outbound calls to members about their claims
+ Investigate requests and problems, with some assistance from others
+ Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
+ Intervene with care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed
+ Assist and educate providers about the client benefit plan, including contracting opportunities with our company on behalf of the client
Skills & Qualifications
Experience in health care benefits, insurance claims processing, or medical provider billing preferred but not required
Prior phone customer service exper...
+ Answer incoming phone calls from members covered by our client company health benefit plans and identify the type of assistance the customer needs
+ Make outbound calls to members about their claims
+ Investigate requests and problems, with some assistance from others
+ Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
+ Intervene with care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed
+ Assist and educate providers about the client benefit plan, including contracting opportunities with our company on behalf of the client
Skills & Qualifications
Experience in health care benefits, insurance claims processing, or medical provider billing preferred but not required
Prior phone customer service exper...
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