What are the responsibilities and job description for the Health Claims Customer Service Rep position at Ideal Staffing Inc.?
Great North LR Company in search of an experienced Medical Claim Customer Service Rep will work with members and providers in a prompt, accurate and courteous manner to answer questions, provide health claims status, eligibility and resolve issues as reported.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
- Answering Customer Service call center line.
- Document details in a call log for every inbound and outbound call.
- Distribution of inbound faxes, keeping a record of receipt of forwarded faxes.
- Documenting details of call center voicemails on scheduled days.
- Return calls and provide claims status as assigned.
- Scan all documentation daily into specified electronic file.
- Maintain knowledge of current plan year policies and provisions.
- Maintain professional demeanor both in person and over the phone.
- Performs any other duties as required or assigned.
- Report status of ongoing tasks to Customer Service Supervisor.
- Adheres to quality standards and confidentiality policies and procedures.
- Support help for other staff as needed.
- Regular and timely attendance is required.
EDUCATION & EXPERIENCE REQUIRED:
- High school diploma or GED
- Two (2) years of related call center experience, including but not limited to customer service, front desk or receptionist. Medical insurance knowledge required.
- Proficient in Microsoft Office, excellent customer service skills, excellent business etiquette.
