Medical Customer Service
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This position requires experience with a third party administrator.
Provide technical support and act as a back-up for the customer service supervisor. Assists with training, queue monitoring, and customer service issues. Assume responsibilities as delegated by Customer Service Supervisor.
-Able to verify caller to ensure only appropriate information is released per policies and procedures.
-Able to research and respond accurately to contact/re-pricing issues and negative vendor calls.
-Demonstrates an understanding of COBRA Administration and coordination of benefits, rules and guidelines.
-Coordinates responses to all inquires to include, but not limited to, research, departmental coordination for information, and communicate leads to provide the correct information to the inquirer.
-Responds to provider inquiries such as eligibility verification, status of claims, questions on payment remittance, overpayments, covered benefits, and appropriates procedures for referrals or any other required information.
-Requests Participants ID Cards
-Obtain copies of EOBs or Remits from ABF as needed by providers or members
-Promotes web and web portals.
-Provides backup and support to Customer Service Supervisor, and assists with training to all areas supported by the customer service department.
-Remains in queue to answer calls when necessary.
- Responds to written claim status requests.
-Handles Flex calls when necessary
-In absence of supervisor, is responsible for monitoring teams call volume initiating movements of queues; is back up for Call Center System; maintains payroll records.
-Attend weekly meetings as requested by Senior Management.
-High School diploma
-2 years minimum customer service experience within third party administrators
-Work well in stressful situations with continues inquires and complaints.
-Ability to pay close attention to detail.
Required Skills for Medical Customer Service Job:
- MEDICAL TERMINOLOGY
- MEDICAL/CLINICAL BILLING
- CUSTOMER SERVICE CLAIMS
- CUSTOMER SERVICE REPRESENTATIVE
- THIRD PARTY BILLING
- MEDICAL REVIEW
- MEDICAL INSURANCE
- MEDICAL HEALTHCARE
Join Aerotek Professional Services®. Our customized employment solutions and personalized approach give job seekers access to great opportunities with competitive salaries. Aerotek offers comprehensive benefits that can include medical, dental, optical, and optional 401k. Don't put your career in the hands of just anyone; put it in the hands of a specialist. Launch or rejuvenate your career today with Aerotek Professional Services! Allegis Group and its subsidiaries are equal opportunity employers and will consider all applications without regard to race, marital status, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law.