Employer Industry: Healthcare Services

Why consider this job opportunity:
- Paid training period provided
- Comprehensive benefits package including Medical, Dental, Life, Vision, HSA, and 401K
- Paid Time Off (PTO) to promote work-life balance
- Equipment provided for a seamless work-from-home experience
- Opportunity to work 100% remotely, offering flexibility in your work environment

What to Expect (Job Responsibilities):
- Manage policy inquiries, updates, terminations, and ID card orders for members
- Provide coverage information and assist with prior authorization and referral processes
- Handle claims status updates and inquiries, including appeals for denied claims
- Troubleshoot website issues for members and answer general health insurance questions
- Maintain confidentiality of sensitive member information and escalate complex issues as needed

What is Required (Qualifications):
- High School Diploma or General Education Degree (GED) required
- At least two (2-3) years of experience in claims examination, health insurance, customer service, call center, medical office, or other healthcare-related field
- Strong computer experience, including data entry and screen navigation
- Excellent oral and written communication skills
- Ability to clear a criminal background check

How to Stand Out (Preferred Qualifications):
- In-depth knowledge of healthcare terminologies, eligibility, benefits, medical claims, and ICD-9 and ICD-10 coding
- Strong multi-tasking abilities with attention to detail
- Self-motivated, organized, and possess time-management skills
- Experience working independently as well as part of a team

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