Provider Customer Service Representative
Description:
? Answers questions and resolves issues based on phone calls/letters from providers.
? Provide excellent customer services for high volume inbound provider calls.
? Extensive claims research on multiple platforms.
? Uses customer service threshold framework to make financial decisions.
? Processes claim referrals, new claim handoffs, nurse reviews, and provider complaints.
? Educates & assists providers on our self-service options.
? Determines medical necessity, applicable coverage provisions, and verifies member plan eligibility.
? Performs review of member and provider claim history.
Requirements: ? Familiarity with Microsoft Office products ? Excellent computer skills using multiple screens and systems ? Experience in highly transactional call center environment ? Excellent customer service and critical thinking ? Secure, private home office location ? High speed internet access (100 mbps or higher)
Benefits:
? Full range of medical, dental, and vision benefits
? 401(k) retirement savings plan
? Employee Stock Purchase Plan
? Fully-paid term life insurance
? Short-term and long-term disability benefits
? Well-being programs
? Education assistance
? Free development courses
? CVS store discount
? Paid Time Off (PTO)
? Paid holidays
Similar Remote Jobs
Provider Customer Service Representative
Posted on: 27-02-2025 00:00
Remote Customer Service Representative
Posted on: 27-02-2025 00:00
Administrative Assistant/Data Entry Clerk
Posted on: 27-02-2025 00:00
Remote Jobs for Students
Posted on: 27-02-2025 00:00
Online Chat Support Representative
Posted on: 27-02-2025 00:00
Remote - Business Development
Posted on: 27-02-2025 00:00
Text Collector (Project Nimbus)
Posted on: 27-02-2025 00:00
Fully Remote Sales Specialist
Posted on: 27-02-2025 00:00
Remote Front Desk Attendant
Posted on: 27-02-2025 00:00
iOS Developer Retail Engineering
Posted on: 27-02-2025 00:00
Denials Representative - 5554- Remote
Posted on: 02-01-2025 03:58
Client Account Support Senior Analyst - Hybrid(Houston ,TX)
Posted on: 27-02-2025 00:00
General Notary Work Overnight - LA, MA, MO, MT, NJ, OR, PA, UT, VA, WY only (11:00pm - 7:00am)
Posted on: 31-01-2025 10:02
Remote Live Chat Agent
Posted on: 03-10-2024 00:00
Chat Room Moderator Jobs ? Become an Online Community Guardian, Earning $25-$35/hr
Posted on: 05-10-2024 00:00
Work At Home Entry Level (100% Remote) Focus Group Participant
Posted on: 08-08-2024 00:00
Sales Representative Entry Level
Posted on: 26-11-2024 06:19
Part Time Teller College Station
Posted on: 27-02-2025 00:00
YouTube Remote Part Time Job $25 An Hour
Posted on: 27-02-2025 00:00
WORK FROM HOME DATA ENTRY CLERK
Posted on: 12-09-2024 00:00