Employer Industry: Healthcare Services

Why consider this job opportunity:
- Paid training period provided
- Comprehensive benefits package including Medical, Dental, Life, Vision, HSA, and 401K
- Generous Paid Time Off (PTO)
- Opportunity to work in a fully remote position
- Chance to contribute to the enhancement of member and provider engagement in healthcare plans

What to Expect (Job Responsibilities):
- Manage policy inquiries, including billing, member information updates, and policy terminations and reinstatements
- Provide accurate information regarding coverage plans, prior authorizations, and referrals
- Assist members with claims status updates, inquiries, and reconsideration requests
- Troubleshoot member website issues and answer general health insurance questions
- 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 (2-3) years of experience in claims examination, health insurance, customer service, call center, medical office, or other healthcare-related fields
- Strong computer skills 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 attention to detail and ability to multi-task
- Self-motivated with excellent time management and problem-solving skills
- Experience working independently as well as part of a team
- Proven customer service skills

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