Call Center Customer Service Representative - Healthcare

Remote Full-time
Title: Customer Service Representative - Healthcare

Location: McLean, VA 22102...

Duration: 6 Months Contract

Pay Rate: $17/hr on W2

Job Description:

Terms of Employment

• Duration: 6 Months

• Location: Remote Opportunity

Overview

• The Customer Service Representative is responsible for supporting the Medicare Appeal process by answering incoming telephone calls, resolving customer questions, complaints and requests adhering to internal policies and procedures and utilizing working knowledge of the organization’s services to meet productivity and quality standards.

Responsibilities

• Develops and maintains working knowledge of internal policies, procedures, and services (both departmental and operational)

• Utilizes automated systems to log and retrieve information. Performs accurate and timely data entry of electronic faxes

• Receives inquiries from customers or providers by telephone, email, fax, or mail and communicates response within required turnaround times

• Responds to telephone inquiries and complaints in a prompt, accurate, and courteous manner following standard operating procedures

• Interacts with hospitals, physicians, beneficiaries, or other program recipients Investigates and resolves or reports customer problems. Identifies and escalates difficult situations to the appropriate party

• Meets or exceeds standards for call volume and service level per department guidelines

• Initiates files by collecting and entering demographic, provider, and procedure information into the system

• Serves as liaison between the Review Supervisors and external providers

• Maintains logs and documents disposition of incoming and outgoing calls

Required Skills & Experience

• High School diploma or equivalent

• 2+ year’s customer service/telephone experience in a similar call center environment and/or industry.

• Must have ability to effectively communicate with team members and external customers

• Must have ability to research and resolve issues related to Medicaid program and service eligibility

Preferred Skills & Experience

• Previous experience in the medical office or other medical setting preferred

• General knowledge of eligibility verification (Medicaid eligibility and program requirements for specific program of focus preferred)

• Knowledge of CPT and HCPCS codes preferred

• PC proficiency to include Microsoft Office Suite

• Experience with Microsoft programs

Sincerely,

Preetam Raj

Lead Technical Recruiter

nTech Workforce Inc.

D: 410-505-4857 EXT: 726

E: [email protected]

preetam(at)ntechworkforce(dot)com

Apply Now

Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

Join Today: Immediately Need Related Arts Teacher (Computer Lab)

Remote

Fraud Risk Analyst

Remote

Application Integration Analyst

Remote

[Remote] Sr. Product Designer

Remote

Flexible Part-Time Work from Home Opportunities with a Leading Digital Service Company - Customer Service, Data Entry, and Content Creation Roles Available

Remote

Southwest Airlines Remote Jobs -Accounts $35/Hour

Remote

Enterprise Solutions Engineer - French & Spanish/Italian

Remote

Associate Director, Marketing

Remote

Work at Home CSR (2p-11p CST TRAINING)-Temporary

Remote

Business Development/Sales (Trial Engagement)

Remote
← Back