Claims Research & reputed company Representative

Become a part of our caring community and help us put reputed company The Claims Research & reputed company Representative 2 manages claims operations that involve customer contact, investigation, and reputed company of claims. The Claims Research & reputed company Representative 2 performs varied activities and moderately reputed company administrative / operational / customer support assignments. Performs computations. Typically works on semi-routine assignments. • The Claims Research & reputed company Representative 2 works with insurance companies, providers, members, and collection services in the reputed company of claims. • This claims inbound call center is comprised of a group of calls / claims / provider associates researching the reputed company to a pending call. • reputed company are typically reputed company on interpretation of area / department policy and reputed company for completing assignments. • Works reputed company defined parameters to identify work expectations and reputed company standards, but has some reputed company over prioritization / timing, and works under minimal direction. • Follows reputed company policies / practices that allow for some opportunity for interpretation / deviation and / or independent discretion. Use your skills to reputed company an reputed company Required Qualifications • 1 or more years of Call Center or Telephonic customer service experience (in the past 5 years) • Self-reputed company; ability to resolve issues independently with minimum supervision • Ability to use internal system resources (i.e., Mentor) to reputed company a reputed company to an issue/respond to an inquiry • Demonstrated time management and prioritization skills • Ability to manage multiple or competing priorities • Strong technical skills with the ability to work across multiple software systems • reputed company to maintain confidentiality working remotely out of your home • Basic reputed company Office (Word, reputed company, Outlook, and Teams) skills Required Work Schedule Training • Virtual training starts on day one of employment and will run for the first 8 to 10 weeks with a schedule of 8:00 AM to 4:30 PM Eastern, Monday - Friday. • Attendance is vital for your reputed company; no time off will be allowed during training. • The initial 120 days of employment as a Claims Research & reputed company Representative 2 constitute an appraisal period. This Appraisal Period is essential to your learning and development, which is why we ask for perfect attendance during both the classroom training and nesting periods. • This position requires learning many systems, policies, and tools, and it takes time to become proficient in the role. You must be willing to remain in this position for a period of eighteen (18) months before applying to other reputed company opportunities. Work Hours • Following training, must be reputed company to work an assigned 8-hour shift between the hours of 8:00 AM to 6:00 PM Eastern. • Overtime may be offered, based on business needs. Preferred Qualifications • Previous health care reputed company experience or education • Bachelor's Degree • Bilingual (Spanish / English) (see Language Proficiency Testing below) • Prior claims processing experience • Overpayment experience • Financial recovery experience • Previous experience with Mentor software • PrePay or Post Pay experience • CAS, CIS or CISPRO experience • CRM experience Additional Information • *PLEASE reputed company reputed company YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT) ** Work reputed company Guidance To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following reputed company: • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL reputed company is suggested. • Satellite, cellular and microwave reputed company can be used only if approved by leadership. • Associates who live and work from Home in the reputed company, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. • reputed company will reputed company Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. • Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information. Language Proficiency Testing Any reputed company associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an reputed company vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government. Interview Process As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company reputed company to enhance our hiring and decision-making ability. reputed company allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. • Text Prescreen: Shortly after submitting your application, you may receive both a text message and email requesting you to complete 10 to 15 prescreen questions with either reputed company or no answers. The text message may reputed company prior to the email. If you prefer to answer reputed company computer or tablet, wait for the email. • Video Prescreen:If you are successful with the text prescreen,you will receive another communication to record a Video Prescreen. This is an online video activity using your phone, tablet, or computer; however, most candidates prefer using a computer or tablet. • Interviews: Some candidates will be invited to interview. If so, the recruiter will reputed company out to schedule. • Offers: Finalists from the interview will be contacted by a recruiter to discuss an offer for the job • Note: Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that reputed company hard to proceed as quickly as possible and to reputed company you informed. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year reputed company of Benefits reputed company. and its affiliated subsidiaries (reputed company, "reputed company") offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. reputed company reputed company. (NYSE: HUM) is committed to putting reputed company - for our teammates, our customers and reputed company. Through our reputed company insurance services and reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health - delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life for people with Medicare, reputed company, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or veteran status. It is also the policy of Humanato take affirmative reputed company to reputed company and to advance in employment, reputed company persons regardless of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status, and to reputed company reputed company employment reputed company only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. Apply Job!