Employer Industry: Healthcare Services

Why consider this job opportunity:
- Paid training period provided
- Comprehensive benefits package including medical, dental, life, vision, HSA, and 401K
- Opportunity for career advancement in a rapidly growing healthcare organization
- Full-time remote position with flexible scheduling
- Equipment provided for a seamless work-from-home experience
- Engage in meaningful work that impacts member satisfaction and healthcare delivery

What to Expect (Job Responsibilities):
- Manage member services calls regarding policy management, benefits, and claims inquiries
- Process member payments, update member information, and handle policy terminations and reinstatements
- Provide accurate coverage information and assist with prior authorization and referral processes
- Conduct research to locate healthcare provider contact information and assist with claims status updates
- Maintain confidentiality of sensitive member information and escalate complex issues as needed

What is Required (Qualifications):
- High School Diploma or General Education Degree (GED) required
- At least 2-3 years of experience in claims examination, health insurance, customer service, call center, medical office, or other healthcare-related fields
- Strong computer experience, including data entry and 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
- Excellent customer service skills with attention to detail
- Self-motivated, organized, and strong time-management skills
- Ability to multitask effectively while working independently and as part of a team
- Experience with troubleshooting member websites and technical issues

#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."