Healthcare Support Staffing
Customer Service Representative
Healthcare Support Staffing, Waltham, Massachusetts, United States, 02254
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description Job Title: Customer Service Representative
Job Description:
Primary job function is answering inbound calls
Handle provider inquiries regarding eligibility, benefits and claims for insurance
Various off phone projects
Responding to email inquiries and secured portal messages
Investigating claim issues and following up with billing offices
Requesting EOBs
Call Center staff will be trained on both MA & NH plans
Daily Responsibilities:
Receive and respond to all telephone inquiries from members or providers
Research and provide information regarding member's eligibility, benefits, referrals and authorizations
Provide members with information on the Provider Network and how to contact and access providers
Educate providers on prior authorization requirements, how to access services and other routine, non-clinical issues
Educate providers on process of submitting outpatient treatment requests for outpatient therapy
Initiate or fax necessary forms to providers for outpatient services
Coordinate with Provider Relations regarding contracting and/or credentialing status
Document all members' issues and resolution in the computer systems
Provide backup support to Data Entry team as necessary
Hours for this Position:
Monday - Friday, 8:30am - 5:00pm
Compensation:
$15 -16/hour (Negotiated based on experience)
Qualifications
HS Diploma
Experience with providers, medical billing, or claims
2+ years of customer service experience
Commercial health insurance experience, preferred
Must pass all aspects of background check to be considered for permanent position
Additional Information Advantages of this Opportunity:
Competitive salary, negotiable based on relevant experience
Benefits offered: Medical, Dental, and Vision
Fun and positive work environment
Interested in being considered?
If you are interested in applying to this position, please contact Suheyn Zambrano at (407) 478-0332 ext. 112 and click the Green Iām Interested Button to email your resume.
#J-18808-Ljbffr
Job Description Job Title: Customer Service Representative
Job Description:
Primary job function is answering inbound calls
Handle provider inquiries regarding eligibility, benefits and claims for insurance
Various off phone projects
Responding to email inquiries and secured portal messages
Investigating claim issues and following up with billing offices
Requesting EOBs
Call Center staff will be trained on both MA & NH plans
Daily Responsibilities:
Receive and respond to all telephone inquiries from members or providers
Research and provide information regarding member's eligibility, benefits, referrals and authorizations
Provide members with information on the Provider Network and how to contact and access providers
Educate providers on prior authorization requirements, how to access services and other routine, non-clinical issues
Educate providers on process of submitting outpatient treatment requests for outpatient therapy
Initiate or fax necessary forms to providers for outpatient services
Coordinate with Provider Relations regarding contracting and/or credentialing status
Document all members' issues and resolution in the computer systems
Provide backup support to Data Entry team as necessary
Hours for this Position:
Monday - Friday, 8:30am - 5:00pm
Compensation:
$15 -16/hour (Negotiated based on experience)
Qualifications
HS Diploma
Experience with providers, medical billing, or claims
2+ years of customer service experience
Commercial health insurance experience, preferred
Must pass all aspects of background check to be considered for permanent position
Additional Information Advantages of this Opportunity:
Competitive salary, negotiable based on relevant experience
Benefits offered: Medical, Dental, and Vision
Fun and positive work environment
Interested in being considered?
If you are interested in applying to this position, please contact Suheyn Zambrano at (407) 478-0332 ext. 112 and click the Green Iām Interested Button to email your resume.
#J-18808-Ljbffr