Employer Industry: Healthcare Services

Why consider this job opportunity:
- Paid training period to ensure you are well-prepared for your role
- Comprehensive benefits package including Medical, Dental, Life, Vision, HSA, and 401K
- Generous Paid Time Off (PTO) for work-life balance
- Equipment provided to facilitate your remote work setup
- Opportunity to work with a leading provider in the healthcare industry
- Flexible full-time remote position with a shifting schedule

What to Expect (Job Responsibilities):
- Manage policy-related inquiries, including billing, member information updates, terminations, and reinstatements
- Provide accurate coverage information and assist with prior authorization and referral processes
- Offer timely updates on claims status and address claims inquiries, including denials and appeals
- Assist members with troubleshooting website issues and answer general health insurance questions
- Maintain confidentiality and escalate complex issues to supervisors as needed

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

How to Stand Out (Preferred Qualifications):
- In-depth knowledge of healthcare terminologies, eligibility, benefits, medical claims, and ICD-9 and ICD-10 coding
- Ability to multi-task along with strong organizational and time-management skills
- Self-motivated with deductive problem-solving abilities
- Experience working independently and collaboratively within a team

#HealthcareServices #CustomerService #RemoteWork #CareerOpportunity #ClaimsProcessing

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.