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Industry: Health Care
Job Title: Customer Service Representative
Duration: 6+ months with (extension and permanent placement depending on attendance and performance)
Work Hours: MON – FRI; 8 AM – 5 PM CT (Not Flexible) LOCAL CANDIDATES ONLY
Location: Memphis, TN 38134 [remote during COVID-19]
***** Looking for someone with customer service experience in medical or healthcare industry*****
Job Description
Delivers straightforward administrative and/or other basic business services in Claims
Examines and processes paper claims and/or electronic claims.
Determines whether to return, pend, deny or pay claims within policies.
Determines steps necessary for adjudication
Settles claims with claimants in accordance with policy provisions.
Compares claim application and/or provider statement with policy file and other records to evaluate completeness and validity of claim.
Interacts with agents and claimants by mail or phone to correct claim form errors or omissions and to investigate questionable entries Issues tend to be routine in nature.
Good knowledge and understanding of Claims and business/operating processes and procedures.
Works to clearly defined procedures under close supervision
This job is an inbound phone line where data is entered into patient’s account
Job Requirements
Skills:
• MUST HAVE INBOUND CALL CENTER EXPERIENCE TO BE CONSIRED – PREFERRABLY IN HEALTHCARE SETTING
• Strong data entry and 10-key skills
• Retail pharmacy, customer service experience helpful but not required
• PC and MS Office literate
• Strong attention to detail
• Excellent retention and judgment ability
• Proficient written and oral communication skills
• Ability to work in fast-paced, production environment
• Reliable, self-motivated with excellent attendance
• Team player who has the ability to stay on task with little supervision
• Inbound call center experience required (preferably healthcare)
Education:
High school diploma or equivalent required, some college or technical training preferred
Schedule Notes: MON – FRI; 8 AM – 5 PM CT (Not Flexible) LOCAL CANDIDATES ONLY
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If you are interested and would like to discuss this position, please call me back at [ Phone number blocked ] or email me at elvin.gohil [ Link Removed ]
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