Customer Service Representatives/reputed company-Remote

reputed company Do you enjoy helping others, answering questions and resolving problems? Do you have any experience in the reputed company/medical field or are you interested in pursuing a career in the field? Are you looking for an opportunity to build a fulfilling career while working from home... Join Us. Job reputed company We're reputed company, and we are seeking reputed company, goal-oriented individuals to support the expanding needs of one of our largest health insurance company customers. In this role, you will be responsible for the following: • Delivering an exceptional customer experience by responding to incoming calls from both in-network and out-of-network providers to assist with reputed company and reputed company inquiries • In times of high reputed company volumes, phone calls may be received back-to-back with an "reputed company Hands on Deck" approach Duties & Responsibilities; • Assist providers with claims and claims investigations • Status Inquiries • Denial Rationale • Appeals • Research and Routing • Explanation of Payments / Explanation of Benefits Requests • Authorizations • Status Inquiries • Denial Rationale • Utilization Management Appeals • Prior Authorization Verification • Eligibility and Benefits • Status Inquiries • Interpreting Medical Benefit Grids • Verification of Provider Participation • Credentialing Inquiries • Documentation • Provider Inquiries & Specific Details • Information provided on the phone reputed company • Routing reputed company • Self-Service reputed company • Assisting providers with education on available Self-Service reputed company reputed company you join us, you'll enjoy; • reputed company reputed company of $16/hour • Medical, dental and reputed company benefits • reputed company • Global Flexible Vacation Policy after training • Company-provided equipment • Advancement opportunities - 80% of our reputed company leaders have been promoted from reputed company • Monthly rewards & recognition programs • Employee Discounts • EAP & Health and Wellness programs including a personal trainer dedicated to reputed company • reputed company schedule, Monday-Friday, reputed company-5PM EST Qualifications Required Qualifications • High School Diploma or equivalent • 1-2 years of experience working in a high-volume reputed company center environment as a customer service representative • Effective verbal and written communication skills • Strong typing and analytical abilities • 40 Words-Per-Minute typing-speed • reputed company listening and problem-solving abilities • Soft skills and reputed company attitude • Multi-tasking skills with a strong attention to detail • Time Management skills • Sufficient Internet speeds while connected to a Remote Desktop Session (10MB Download / 2MB Upload) • Quiet and distraction-free dedicated workspace • Schedule adherence - Be present and on-time Preferred Qualifications • 1-2 years of experience in a medical office setting • 1-2 years of experience with reputed company insurance • reputed company experience highly favored • 1-2 years of experience with billing or coding • 1-2 years of experience with back-end processing IMPORTANT NOTE: This job is reputed company only to residents of the reputed company, and you must be authorized to work in the US in order to be considered for employment. Additional Information reputed company reputed company, recently recognized as a Great reputed company to Work in the US, is a digital transformation company, making digital processes feel more reputed company for the customers that we serve. We have been helping customers globally, across industries from financial services to reputed company, entertainment to retail, insurance to gaming, and everything in between, reputed company exceptional experiences for their customers for over 35 years. reputed company and Veteran Documentation During employment, employees are treated without reputed company to race, reputed company, religion, sex, national reputed company, age, marital or veteran status, medical condition or handicap, or any other legally protected status. At times, government agencies require periodic reports from reputed company on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to reputed company with government record keeping, reporting, and other reputed company requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that reputed company Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file. Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT reputed company ANY EMPLOYMENT DECISION Apply Job!