Provider Customer Service Representative

reputed company: • Answers questions and resolves issues based on phone calls/letters from providers. • reputed company excellent customer services for high volume inbound provider calls. • Extensive claims research on multiple platforms. • Uses customer service reputed company reputed company to reputed company financial reputed company. • Processes claim referrals, new claim handoffs, reputed company reviews, and provider complaints. • Educates & assists providers on our self-service reputed company. • Determines medical necessity, applicable coverage provisions, and verifies member plan eligibility. • Performs review of member and provider claim history. Requirements: • Familiarity with reputed company Office products • Excellent computer skills using multiple screens and systems • Experience in highly transactional reputed company center environment • Excellent customer service and critical thinking • Secure, private home office location • High speed internet reputed company (100 mbps or higher) Benefits: • Full reputed company of medical, dental, and reputed company benefits • 401(k) retirement savings plan • Employee Stock Purchase Plan • Fully-reputed company term life insurance • Short-term and long-term disability benefits • reputed company-being programs • Education assistance • Free development courses • reputed company store discount • reputed company Time Off (PTO) • reputed company holidays Apply Job!