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Customer service/ medical claims
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Bedford, NH Bedford, New Hampshire |
About this job
Competencies:
Team Member: Critical Thinking/Execution, Adaptability/Flexibility, Communication/Relationship Development, Technical and Professional Knowledge
Position Responsibilities:
- Document all activities for reporting and resolution through the customer relationship management application (CRM)
- Answer inquiries from providers regarding claim, eligibility, covered benefits, authorization status issues
- Provide first call resolution through issue documentation and resolution with appropriate internal resource, follow-up and ensure closure with the contact who initiated the inquiry
- Respond appropriately to provider issues and concerns, and provide trending feedback to improve the customer experience
- Process customer correspondence and provide the appropriate level of timely follow up
- Manage service related follow up items and outstanding tasks in accordance with established turn around times
- Provide assistance to provider regarding website registration, navigation and customer related inquires
- Educate provider on health plan initiatives during interactions with providers via telephone
- Maintain performance and quality standards based on established call experience guidelines
- Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations’ team for claim adjustment
- Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service , quality improvement and call reduction
About Aerotek Professional Services:
Join Aerotek Professional Services®. Our customized employment solutions and personalized approach give job seekers access to great opportunities with competitive salaries. Aerotek offers comprehensive benefits that can include medical, dental, optical, and optional 401k. Don't put your career in the hands of just anyone; put it in the hands of a specialist. Launch or rejuvenate your career today with Aerotek Professional Services! Allegis Group and its subsidiaries are equal opportunity employers and will consider all applications without regard to race, marital status, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law.
Team Member: Critical Thinking/Execution, Adaptability/Flexibility, Communication/Relationship Development, Technical and Professional Knowledge
Position Responsibilities:
- Document all activities for reporting and resolution through the customer relationship management application (CRM)
- Answer inquiries from providers regarding claim, eligibility, covered benefits, authorization status issues
- Provide first call resolution through issue documentation and resolution with appropriate internal resource, follow-up and ensure closure with the contact who initiated the inquiry
- Respond appropriately to provider issues and concerns, and provide trending feedback to improve the customer experience
- Process customer correspondence and provide the appropriate level of timely follow up
- Manage service related follow up items and outstanding tasks in accordance with established turn around times
- Provide assistance to provider regarding website registration, navigation and customer related inquires
- Educate provider on health plan initiatives during interactions with providers via telephone
- Maintain performance and quality standards based on established call experience guidelines
- Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations’ team for claim adjustment
- Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service , quality improvement and call reduction
About Aerotek Professional Services:
Join Aerotek Professional Services®. Our customized employment solutions and personalized approach give job seekers access to great opportunities with competitive salaries. Aerotek offers comprehensive benefits that can include medical, dental, optical, and optional 401k. Don't put your career in the hands of just anyone; put it in the hands of a specialist. Launch or rejuvenate your career today with Aerotek Professional Services! Allegis Group and its subsidiaries are equal opportunity employers and will consider all applications without regard to race, marital status, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law.
Requirements
CALL CENTER, Health Care, Customer Service
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