Employer Industry: Healthcare Services

Why consider this job opportunity:
- Paid training period to ensure your success in the role
- Comprehensive benefits package including Medical, Dental, Life, Vision, HSA, and 401K
- Flexible work environment with a 100% remote position
- Opportunity to contribute to enhancing member satisfaction and engagement
- Supportive team atmosphere focused on collaboration and success
- Paid Time Off (PTO) for work-life balance

What to Expect (Job Responsibilities):
- Handle member services calls related to policy management, benefits, and claim inquiries
- Process member payments, address billing inquiries, and resolve discrepancies
- Provide accurate information about coverage plans and assist with prior authorization and referrals
- Conduct thorough research to locate healthcare provider contact information for members
- Maintain confidentiality of sensitive member information and escalate complex issues as necessary

What is Required (Qualifications):
- High School Diploma or General Education Degree (GED) required
- At least two (2) years of experience in claims examination, health insurance, customer service, call center, medical office, or other healthcare-related field
- Strong understanding of healthcare terminology, including ICD-9 and ICD-10 coding
- 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 eligibility, benefits, medical claims, and policy process flow
- Strong computer skills, including data entry and navigation
- Ability to multitask with attention to detail and self-motivation
- Experience working independently and as part of a team
- Strong organizational and time-management skills

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