Employer Industry: Healthcare Services

Why consider this job opportunity:
- Paid training period to enhance your skills
- Comprehensive benefits package including Medical, Dental, Life, Vision, HSA, and 401K
- Generous Paid Time Off (PTO) policy
- Opportunity for career advancement within a growing company
- 100% remote work flexibility
- Work for a leading provider serving over 70 health plans nationwide

What to Expect (Job Responsibilities):
- Manage policy-related calls, including billing inquiries and member information updates
- Provide accurate coverage information and assist with prior authorization and referral processes
- Handle claims status updates and assist with inquiries and reconsideration requests
- Troubleshoot website issues and answer general questions about health insurance plans
- 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 two (2) years of experience in claims examination, health insurance, customer service, call center, medical office, or other healthcare-related field
- Strong computer skills, including data entry and screen navigation
- Excellent oral and written communication skills
- Must be able 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
- Ability to multi-task while paying attention to detail
- Self-motivated with strong organizational and time-management skills
- Experience working independently and as part of a team

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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."