Employer Industry: Healthcare Services

Why consider this job opportunity:
- Paid training period to ensure you are well-prepared for the role
- Comprehensive benefits package including Medical, Dental, Life, Vision, HSA, and 401K
- Paid time off (PTO) to promote work-life balance
- Opportunity for career advancement within a leading healthcare service provider
- Fully remote position offering flexibility in your work environment

What to Expect (Job Responsibilities):
- Manage member services calls related to policy management, benefits, and claims inquiries
- Process member payments, address billing inquiries, and resolve billing discrepancies
- Provide accurate information on coverage plans, including eligibility and benefits
- Assist members with claims status updates, inquiries, and reconsideration requests
- Maintain confidentiality and escalate complex issues to supervisors when 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 health insurance eligibility, benefits, and medical claims processes
- Strong computer skills, including data entry and screen navigation
- Ability to multi-task while maintaining attention to detail
- Self-motivated with strong organizational and time-management skills
- Experience working independently as well as part of a team

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