** Insurance Customer Service Representative**

**Job Category****:** Administrative (Field) **Requisition Number****:** INSUR004823 Showing 1 location **Job Details**

**Description**

CorVel in Fort Worth, TX is seeking a full time Insurance Customer Service Representative. The Insurance Customer Service Representative is responsible for addressing client and/or provider inquiries via email, fax, telephonic, or written correspondence according to internal and client guidelines.

**About CERiS**

CERiS, a division of CorVel Corporation, a certified Great Place to Work Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

**ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:**

* Take inbound calls and makes outbound calls as needed.

* Analyzes client and provider inquiries to determine appropriate steps for resolution.

* Performs review of claim history to ensure accurate information is communicated to internal and external customers

* Works directly with internal departments and management for resolution of Customer Service inquiries

* Able to accurately communicate CERiS findings to clients and providers in written and verbal format.

* Maintain reports and spreadsheets as needed.

* Additional duties as assigned.

**KNOWLEDGE & SKILLS:**

* Excellent communication, verbal, written and organizational skills

* Prior knowledge of inpatient and outpatient hospital revenue cycle required.

* Excellent written and verbal communication skills.

* Contract interpretation, medical terminology and coding knowledge.

* Proficiency with Microsoft applications.

**EDUCATION/EXPERIENCE:**

* High school diploma or equivalent

* 3 years of healthcare revenue cycle experience (collections, appeals, denials management, etc)

* 2 years working with customers in a fast-paced, deadline-oriented environment

* 2 years experience as a Customer Service representative

* Strong attention to detail, organizational and time management skills with the ability to interpret, research and identify core issues

* Strong customer focus, analytical and decision making skills

* Strong technical skills with the ability to work across multiple software systems and comfortable work remote out of your home

**CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable**

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