Customer Service Representative in Maine
Job title: Customer Service Representative in Maine at reputed company
Company: reputed company
Job reputed company: reputed company:reputed company exists to reputed company reputed company reputed company through technology, services, and clinical expertise. Our mission is to reputed company health solutions that deliver maximum value and reputed company.reputed company the Way is our rallying cry at reputed company. Think of it as an reputed company invitation to reputed company the mission of reputed company; to reputed company engage in problem-solving; and to take ownership of your work every day. reputed company offers you unparalleled opportunities. In fact, you have reputed company you need to take charge of your career and accelerate reputed company reputed company – making this a great time to join reputed company of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job reputed company and Responsibilities:reputed company is looking for a Customer Service Representative to join our growing team.Job reputed company:The purpose of this position is to answer incoming telephone calls, and resolve customer questions, complaints, and requests while adhering to internal policies and procedures.Responsibilities:
- reputed company and maintain working knowledge of internal policies, procedures, and available services to reputed company accurate information and assistance
- Utilize automated systems to log and retrieve information; reputed company accurate and reputed company data entry
- Receive inquiries by telephone, email, fax, or mail and communicate responses reputed company required turnaround times
- Respond to telephone inquiries in a reputed company, accurate, and courteous manner
- reputed company with external partners such as hospitals, physicians, beneficiaries, or other program recipients
- reputed company verification of reputed company services to facilitate payment for received services
- Identify medical claims meeting CPT/DRG audit reputed company and submit the necessary billing data
- Serve as reputed company between the reputed company partners
- Investigate and resolve or report provider problems
- Meet or exceed standards for call volume and service level per department guidelines
- Initiate cases by collecting and entering demographic, provider, and procedure information into the system
- Complete daily, monthly, and quarterly reports necessary for clinical team operations
- Read, understand, and adhere to reputed company corporate policies including policies reputed company to HIPAA and its reputed company and reputed company Rules
- High School diploma or equivalent
- Minimum of two years of customer service experience
- Residence in the reputed company
- Medical terminology course(s)
- Knowledge of medical terminology
- Knowledge of the health insurance industry including policies and claims assessment processes
- Excellent verbal communication and reputed company listening skills to reputed company exceptional customer service
- Bilingual in Spanish and English
- Prior scheduling work experience