Manage pre-service insurance reviews for healthcare clients in a remote or office environment. Process inquiries and claims with focus on accuracy and Key Performance Indicators.
Responsibilities
This position is responsible for managing pre-service insurance reviews for our healthcare clients.
Representatives will work in a company office or home office environment.
The Representative will manage inquiries and concerns related to insurance with the goal of processing each account with accuracy to facilitate successful insurance registration and claims processing.
They will learn through classroom training, on-the-job experience and management guidance.
They will operate with minimal management guidance to exceed Key Performance Indicators for incoming and outgoing calls, and call review scores.
This role is expected to follow company and client policies, procedures, and applicable laws.
Requirements
Prior work experience in a call center and healthcare customer service setting is preferred.
Familiarity with Artiva and Cerner Soarian application is preferred.
Working knowledge of medical billing and coding is preferred.
Prior work experience in a medical office and/or general understanding of health insurance is preferred.
Prior Supervisory experience is welcome in this growing company.
Able to communicate clearly, both verbally and in writing, and utilize proper grammar and telephone etiquette and provided electronic tools.
Able to navigate multiple computer applications and databases.
Reliable and responsible. Arrives on time and uses time productively.
Possesses and demonstrates professional judgement and client services business acumen.
Understands sensitive personal information (SPI) and sensitive consumer information (i.e., Protected Health Information (PHI)) while maintaining the confidentiality of this information.
Able to use tools provided to compute basic math calculations using addition, subtraction, multiplication, division, and percentages.
Self-motivation and committed to career success.
Benefits
Paid Medical insurance includes personalized assistance to select from any qualified options in the marketplace.
Additional options for Dental/Vision, paid short-term disability and life insurance benefits.
Generous PTO (3 weeks per year) plus holiday pay and make-up time benefits begin within month three of employment.
401K Company shares profits through an annual discretionary bonus which employees can have in full or deposit (some or all) into their 401k.
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