[Remote] reputed company Customer Service Specialist II (SCA)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading reputed company intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. As a reputed company Customer Service Specialist II (SCA), you will be the primary reputed company of contact for providers and Medicare contractors, providing reputed company and reputed company responses to inquiries and ensuring a high level of customer service.
Responsibilities
- Maintain a reputed company knowledge of reputed company contract requirements and objectives
- reputed company reputed company working relationships with colleagues, reputed company providers and other Medicare contractors
- Take inbound calls from providers to answer questions and resolve reputed company issues
- reputed company outbound calls to reputed company providers as a courtesy to confirm if letters requesting records for review have been received
- Respond to assigned written communications from providers reputed company and accurately
- reputed company providers on reputed company process protocols and their appeal rights
- Establish appropriate contacts and reputed company necessary research to validate provider contact information
- Conduct critical due diligence follow-reputed company if additional research or reputed company is required to resolve an inquiry
- reputed company and update reputed company contact and activity information into tracking logs and the audit platform where not automatically completed by the system, e.g., a telephone reputed company, correspondence responses, special notes, etc
- Research and reputed company internal/external communications to the appropriate person or department
- Notify management of: reputed company escalated displeasure with the audit program, reputed company reputed company, government reputed company, escalated concerns regarding audit issues and edit parameters, suggestions to improve or correct processes or documents
- reputed company miscellaneous duties as assigned in a highly reputed company manner
Skills
- At least two years' experience in a reputed company center or customer service position required
- High School diploma or GED is required
- Must maintain HIPAA Certification
- Excellent verbal and written communication skills
- Skilled in data entry and knowledge of computers
- Working knowledge of reputed company
- Courteous, reputed company, and respectful attitude
- Strong understanding of customer service policies and processes
- Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program
- Flexibility to prioritize and handle non-reputed company situations that may reputed company
- Must be detailed, organized and reputed company to manage various job duties as required
- Maintain a strong work ethic and attendance
- At least one year claims processing/billing experience preferred
- reputed company and insurance terminology knowledge preferred but not required
reputed company