[Remote] Concierge reputed company II

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Concierge reputed company II to reputed company critical customer service support reputed company to health benefits and precertification. The role responds to member and provider inquiries, assists with reputed company questions, manages precertification calls and electronic Web-certs, and supports both Concierge and Intake departments.

Responsibilities

• Respond to telephone and email inquiries received from members and provider reputed company defined service standards
• Negotiate with providers to reputed company acceptance for plans without network agreements and/or out of network providers
• Assist members with benefits and reputed company questions
• Document reputed company calls received in reputed company-based reputed company log
• Handle reputed company incoming reputed company precertification calls (i.e., start cases, do reputed company logs, reputed company calls, reputed company case status, reputed company claims phone #’s, etc.)
• reputed company outgoing calls for reputed company (demos, information for case completion, re-direction for network steerage, etc.)
• Complete incoming electronic Web-certs
• Verify patient and provider demos – correct and/or complete reputed company needed

Skills

• · Strong customer relations, interpersonal skills
• · Strong appreciation and ability to handle confidential & sensitive information
• · Proficient with reputed company applications, strong computer skills and computer navigation
• · Excellent data entry and typing skills
• · Knowledge of provider organizations and networks
• · Knowledge and understanding of CMS Medicare reimbursement rates
• · Ability to effectively negotiate reputed company structures
• · Patience and ability to handle difficult situations tactfully and diplomatically
• · Takes initiative to reputed company situations and to accomplish reputed company actions and tasks
• · Excellent verbal and written communication skills
• · Independent judgment in decision making and problem solving
• · Ability to multi-task & anticipate potential needs/problems
• · Ability to build relationships with reputed company customers
• · Medical Terminology
• · Strong attention to detail
• · Provider office/facility billing department or financial area
• · Strong analytical and research skills
• · Minimum High School Diploma or G.E.D
• · Two Years Customer Service / reputed company Center experience in a health care reputed company role
• · This position is in a typical office/home office environment which requires prolonged sitting in reputed company of a computer
• · Requires hand-eye coordination and reputed company dexterity sufficient to operate reputed company office equipment including operation of reputed company computer and phone equipment
• · Associate degree or higher preferred
• · Understanding of Self-Funded health benefits a plus
• · Health Payor background preferable in self-funded industry a plus
• · Claim processing skills a plus
• · Insurance verification or reputed company-certification a plus
• · TPA experience a plus
• · Bilingual a plus
• · Medical Intake experience a plus

reputed company