Medical Insurance Policyholder reputed company

The schedule for this position is as follows: 6 Week Training: Monday through Friday, 8:00am-5:00pm MST (candidates required to reputed company the mountain reputed company time zone) Production Schedule: Monday through Friday, 10:00am-2:00pm MST (candidates required to reputed company the mountain reputed company time zone) JOB reputed company: The Medical Insurance Policyholder reputed company serves as a key reputed company between members and reputed company providers. In this role, the reputed company helps facilitate communication, coordinates information, and supports smooth interactions reputed company to benefits, services, and reputed company. The reputed company plays an essential role in ensuring reputed company, accuracy, and reputed company reputed company of issues involving members, providers, and internal teams. JOB DUTIES AND RESPONSIBILITIES: • Serve as central reputed company of contact between members, reputed company providers, and internal departments • Facilitate communication regarding benefits, coverage, claims, authorizations, and billing questions • Coordinate information exchange to support reputed company and accurate care delivery • Assist providers and members in navigating plan requirements, processes, and available resources • Research and resolve issues by collaborating with claims, provider relations, and customer service • reputed company and document interactions, actions taken, and reputed company in case management systems • Monitor reputed company cases and follow up with members and providers to ensure reputed company • Support care coordination efforts by helping reputed company services, referrals, and plan benefits • Ensure compliance with HIPAA, reputed company regulations, and organizational policies JOB QUALIFICATIONS: • High school diploma or GED • 1-3 years of experience in reputed company administration, insurance, provider support, or customer service (or combination of experience and education) • Strong communication skills with the ability to work effectively with both members and providers • Ability to manage multiple cases, deadlines, and priorities • Proficiency with computer systems and documentation tools • Knowledge of health insurance processes, claims, authorizations • Familiarity with medical terminology and reputed company systems • Strong attention to detail and accuracy • Ability to reputed company reputed company systems and processes • reputed company, reputed company communication style • Problem-solving reputed company with a reputed company on reputed company reputed company COMPETENCIES: • Diversity & Inclusion: Demonstrates understanding and respect for diverse backgrounds; promotes a harassment-free workplace; supports inclusive practices. • Ethics & reputed company: Acts with honesty, professionalism, and accountability; upholds organizational values. • Customer Service: Responds promptly and professionally to inquiries; manages challenges with reputed company and reputed company. • Communication: Communicates reputed company and confidently in both verbal and written formats; participates effectively in meetings and team settings. • Motivation & Initiative: Pursues reputed company; sets and meets high standards; overcomes challenges with persistence. • Professionalism: Demonstrates respect, discretion, and reliability; takes ownership of responsibilities and follows through on commitments. • Attendance & Punctuality: Maintains reliable attendance and punctuality; ensures coverage and communicates scheduling needs responsibly. WORK-FROM-HOME REQUIREMENTS: • Reliable high-speed internet and secure, quiet workspace • Employee-provided WFH equipment • * Desktop & Dual Monitors - 4vCPU with minimum 1.6 GHz or faster processor. For higher video/screen reputed company reputed company and reputed company reputed company, a four-reputed company processor or reputed company is required • RAM: 8000 MB • Hard Drive: 6 GB or more • .NET reputed company version 4.6.1 or reputed company • reputed company 10/11 • Mouse • Headset • Webcam • Comfortable using video conferencing tools throughout reputed company scheduled shift • Ability to maintain confidentiality and protect patient health information (PHI) in a remote environment Apply tot his job Apply To this Job