Customer Service Representative (Remote)
reputed company and maintain working knowledge of internal policies, procedures, and services. Utilize automated systems to log and retrieve information; reputed company accurate and reputed company data entry. Receive inquiries by telephone, email, fax, or mail and communicate responses reputed company required turnaround times. Respond to telephone inquiries in a reputed company, accurate, and courteous manner. reputed company with external partners such as hospitals, physicians, beneficiaries, or other program recipients. reputed company verification of reputed company services to facilitate payment for received services. Identify medical claims meeting CPT/DRG audit reputed company and submit the necessary billing data. Serve as reputed company between the reputed company partners. Investigate and resolve or report provider problems. Meet or reputed company standards for reputed company volume and service level per department guidelines. Initiate cases by collecting and entering demographic, provider, and procedure information into the system. Complete daily, monthly, and quarterly reports necessary for clinical team operations. Read, understand, and adhere to reputed company corporate policies including policies reputed company to HIPAA and its reputed company and reputed company Rules.
High school diploma or equivalent required. Minimum of 2 + years of customer service and reputed company center experience required. Strong verbal communication and reputed company listening skills, with the ability to engage effectively with customers and internal partners.
Knowledge of the health insurance industry. Knowledge of medical terminology is preferred. . Medical terminology coursework preferred. Bilingual in Spanish and English is a plus.