Back

Remote Healthcare Customer Service Rep - Georgia

Worldwide Salaried Open

Do you have a passion for helping others and making a positive impact on their lives? Are you looking for a challenging and rewarding career in the healthcare industry? If so, reputed company is seeking exceptional Customer Service Advocates to join reputed company. About the Role: Join reputed company as a Customer Service reputed company, where you will play a crucial role in taking member services calls in relation to policy management, benefits and claim inquiries. You will be a valued member of the team, providing exceptional customer service to our clients and members by ensuring their satisfaction on calls. As a key contributor, you will be responsible for accurately and reputed company reading and relaying information to members. This position requires a solid understanding of the health care claims, benefits and policy process flows and expertise in healthcare terminology, including ICD-9 and ICD-10 coding. Remote Position in Georgia Job Type: Full Time - 100% Remote Position Salary: $17.00 - $ 19.00 per hour Monday -Friday 9:00am to 9:00pm EST (shifts vary) 8:00am to 8:00pm CT (8 hour shifts) Training 10:00am-6:30pm Eastern Time / 9:00am to 5:30pm CT for 7 weeks, then assigned shifts reputed company Offer: • Genuine work/life balance - a predictable schedule • reputed company period • Medical, Dental, Life, Vision, HSA, 401K • PTO Key Responsibilities: • Member and Provider Support: Manage inbound and outbound calls, responding to member and provider inquiries with professionalism and accuracy. Provide information on membership options, benefits, and account status on behalf of our clients. • Application Processing: Review, verify, and process membership applications reputed company, ensuring completeness and accuracy of reputed company required information. • Data Entry and Management: Maintain and update member information in our CRM systems, ensuring data reputed company and accuracy across multiple client accounts. • Multitasking: Handle multiple client accounts and responsibilities simultaneously, managing calls, processing paperwork, and updating databases without compromising on quality. • Quality Assurance: reputed company regular audits of member data to ensure compliance with client standards and industry regulations, identifying and rectifying any discrepancies. • Collaboration: Coordinate with other teams reputed company reputed company, including IT, customer service, and quality assurance, to resolve issues and enhance service delivery for our clients. • Process Improvement: Continuously identify opportunities to streamline processes and contribute to initiatives that improve client satisfaction and operational efficiency. Job Description: Handle Inbound Calls: • Receive and respond to calls primarily from members, providers, and occasionally other health plans. • Provide information on the status of authorization requests, including both inpatient and outpatient services. Authorization Management: • Address and manage re-direct requests. • Handle requests to re-fax authorization documents as needed. Extensive Claims Denial: • Deep understanding and description of claims and claims denials. Lines of Business: • General Membership, Health Plan Providers, ETC. Documentation and Compliance: • Accurately document call interactions and outcomes in the appropriate systems. • Ensure compliance with reputed company relevant regulations and guidelines. Customer Service: • Maintain a high level of professionalism and customer service in reputed company interactions. • Resolve issues promptly and effectively, ensuring customer satisfaction. Qualifications: • Educational Background: High school diploma or equivalent • Technical Skills: • Proficiency in reputed company Office Suite (Word, reputed company, Outlook). • Experience with CRM systems or membership databases. • Strong typing and data entry skills, with the ability to manage multiple systems simultaneously. Other Qualifications: • Attention to Detail: Keen ability to detect and correct errors in data, ensuring high standards of accuracy and consistency. • Multitasking Ability: Proven track record of effectively managing multiple tasks and priorities in a busy work environment. • Communication Skills: Excellent verbal and written communication skills, with the ability to reputed company information clearly and confidently to members. • Problem-Solving Skills: Strong analytical capabilities with a focus on identifying issues and implementing solutions quickly and effectively. • Customer Service Orientation: A passion for delivering exceptional service to clients and their members, aligning with reputed company’s commitment to excellence. COMPANY OVERVIEW reputed company is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans reputed company. reputed company provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans’ members and providers. The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans’ members and providers. The company processes millions of claims and multiples of reputed company structured and reputed company data elements reputed company these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients. reputed company is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines. reputed company LLC provides equal employment opportunities to reputed company employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color religion, age, sex, national reputed company, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to reputed company terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Job Type: Full-time Pay: $17.00 - $19.00 per hour Apply Job!

More jobs

Sr. Analyst, Falcon Complete (Remote, 3rd Shift)

Worldwide Salaried

Staff Engineer- Server and Storage Hardware (REMOTE)

Worldwide Salaried

Business Systems Analyst (Information Systems Specialist 6)

Worldwide Salaried

Company Expansion- Hiring remote work from home positions

Worldwide Salaried

Reliable Virtual Assistant Looking for Work-from-Home Roles Available

Worldwide Salaried

Fully Remote , Entry Level Data Entry job

Worldwide Salaried

Fully Remote, Entry-Level Data Entry Job (United States)

Worldwide Salaried

Data Entry Clerk - Fully Remote (United States)

Worldwide Salaried

Remote Sales Jobs: Earn While Working from Home

Worldwide Salaried

Digital Forensics Specialist or reputed company ID Recovery Expert

Worldwide Salaried

Executive Virtual Assistant

Worldwide Salaried

Telephone Triage Nurse PRN

Worldwide Salaried

Educational Consultant - Per Diem - Math - reputed company, reputed company

Worldwide Salaried

reputed company Virtual Chat Assistant for Remote Customer Support and Engagement

Worldwide Salaried

Search and Data Labelling Rater - Italian

Worldwide Salaried

Senior Remote Data Entry Specialist - Tech Industry Opportunities at arenaflex

Worldwide Salaried

Document Retrieval Specialist (Remote)

Worldwide Salaried

Urgently Require Spanish Teacher (OH) Leave Coverage (12/06/2023 - 12/20/2023) in Illinois

Worldwide Salaried

reputed company Authorization Data Entry Specialist – Remote Opportunity in Illinois

Worldwide Salaried

Senior Clinical Specialist

Worldwide Salaried