Appeals Representative - Ridgeland MS, Miami FL, Phoenix AZ, Richardson TX

Requirements:

• An
  education level of at least a high school diploma or GED OR 10 years of
  equivalent working experience
• 1+
  years customer service experience with prior experience in healthcare
• Basic
  Proficiency in Microsoft Word, Excel and Outlook and keyboarding skills
  (ability to navigate multiple systems and sites to validate and process
  information to retrieve data)
• Standard
  working hours are anytime from 6:00am - 5:00pm Monday - Friday. Must be flexible to work
  overtime as needed.
• Authorization
  to work in the United States

Assets:

• Experience
  with healthcare/medical terminology strongly preferred

Soft
Skills:

• Desire
  and passion to improve the life of others by providing outstanding service
  to our members
• Demonstrated
  ability to listen skillfully, collect relevant information, and determine
  next steps to solve the problem
• Flexibility
  to customize approach to meet all types of member communication styles and
  personalities
• Strong
  written communication skills including grammatical composition and
  spelling (ability to write error free letters to translate medical and
  insurance jargon and complex processes into simple, step-by-step letters
  that members can understand)
• Excellent
  conflict and time management skills including:
• Professionally and adeptly resolve issues while under
  stress
• Ability to meet urgent regulatory timelines
• Demonstrate personal resilience

Physical
Requirements and Work Environment:

• Frequent
  speaking, listening using a headset, sitting, use of hands/fingers across
  keyboard or mouse, handling other objects, long periods working at a
  computer
• Operations
  center environment with moderate noise level due to Representatives
  talking, computers, printers, and floor activity