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Healthcare Claims CSR II - Full-time / Part-time
| Hours | Full-time, Part-time |
|---|---|
| Location | San Antonio, Texas 78205 San Antonio, Texas |
About this job
EXCELLENT ATTENDANCE AND 1+ YEAR EXPERIENCE IN HEALTH CARE CALL CENTER NECESSARY
Position Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner
* Reference current materials to answer escalated and complex inquiries from members and providers regarding claims, eligibility, covered benefits and authorization status matters
* Provide assistance to members and/or providers regarding website registration and navigation
* Educate members and/or providers on health plan initiatives Provide first call resolution working with appropriate internal/external resources, and ensure closure of all inquiries
* Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
* Process written customer correspondence and provide the appropriate level of follow-up in a timely manner
* Research and identify processing inaccuracies in claim payments and route to the appropriate team for claim adjustment
* Identify trends related to member and/or provider inquiries that may lead to policy or process improvements that support excellent customer service and impact quality and performance standards
* Work with other departments on cross functional tasks and projects
* Maintain performance and quality standards based on established call center metrics including turn-around times
About Aerotek:
Our people are everything. As a Best of Staffing® Client and Talent leader, Aerotek® Inc. has distinguished itself as a leader in recruiting and staffing services, by having a deep understanding of the intersection of talent and business. As a strategic partner to more than 17,000 clients and 300,000 contract employees every year, Aerotek's people-focused approach yields competitive advantages for its clients and rewarding careers for its contract employees. Headquartered in Hanover, Md., Aerotek operates a network of over 230 non-franchised offices with more than 6,000 internal employees dedicated to serving our customers. Aerotek is an operating company of Allegis Group, a global talent solutions provider. To learn more, visit .
Aerotek is acting as an Employment Agency in relation to this vacancy.
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