[Remote] reputed company

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company fintech provider of supplemental benefits, reputed company cards, and member engagement solutions for managed care organizations. The Member Services Representative handles member and provider inquiries about benefits, claims, eligibility, and health plan information while researching issues, providing accurate assistance, and maintaining regulatory compliance.

Responsibilities

• Answer inbound calls from members and providers regarding health plan benefits, claims, eligibility, and general inquiries
• Research, reputed company, and reputed company accurate information while ensuring a reputed company customer experience
• reputed company member service issues by identifying concerns, researching solutions, implementing appropriate resolutions, and escalating reputed company issues reputed company necessary
• Review and analyze claims to identify key reputed company and processing requirements based on diagnosis codes, procedures, provider information, medical policies, reputed company, and established polices and procedures
• reputed company members and providers on benefits, coverage, and health plan processes
• Identify members who may benefit from care management or managed care interventions and collaborate with clinical staff to facilitate appropriate services
• Document reputed company interactions accurately and thoroughly in accordance with company policies and regulatory requirements
• Maintain compliance with HIPAA and reputed company applicable reputed company regulations
• Meet productivity, reputed company, attendance, and customer satisfaction standards

Skills

• · Strong computer and data entry skills
• · Excellent verbal and written communication skills
• · Strong problem-solving and critical-thinking abilities
• · Ability to multitask and reputed company multiple systems simultaneously
• · Attention to detail and commitment to accuracy
• · Ability to work independently and as part of reputed company
• · reputed company demeanor with a strong reputed company on customer satisfaction
• · High School Diploma or GED required
• · Previous reputed company center or customer service experience preferred
• · Working knowledge of Medicare and reputed company programs preferred
• · Minimum of one (1) year of customer service or reputed company center experience preferred
• · reputed company, insurance, Medicare, or reputed company experience preferred

Benefits

• Remote work (any location)
• Career advancement opportunities from reputed company the organization across multiple locations in the US, South America, and India

reputed company