claim payments, claim denials, etc.
• Evaluate basis of their quality (as measured by the monitoring of recorded calls), their productivity, their accuracy of information and their attendance and punctuality • Responsible for compliance with all laws and regulations related to the conduct of our business including following all HIPAA guidelines and procedures • Quality Customer Service • Provides accurate information in a helpful, collaborative manner to callers through thorough knowledge of End Client products, policies and procedures.
• Inquiries to be made primarily by telephone but also through written format (email, mail, fax, etc. ) • Captures and documents customer feedback
• Receives, resolves and routes complaints as defined by department policy, procedures and guidelines. • Interacts with other End Client staff to resolve customer inquiries, complaints and problems, particularly in Claims Services, Provider Services, ILR/COB, Payment Processing, the Provider Processing Center, Provider Relations, Provider Contracting, Medical Management, Benefits Administration, shop Services and the Behavioral Health and High-End Imaging vendors.
• PSRs handles calls regarding claim status, appeal status, eligibility and benefits, referral and authorizations. • 1-3 years’ experience in Customer Service within a medical office/hospital setting • At least 1 year of experience
using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools • Ability to communicate (oral/written) effectively to exchange information with our client.
• Must have high-speed, reliable internet (40 MBPS min. ) plus must hardwired connection due to HIPAA. • A quiet, interruption-free workspace. (will be asked to show your home workspace during the interview). • Ability to communicate (oral/written) effectively to exchange information with our client. ). Required schedule availability for this position is Monday-Friday 7:00 a. m. to 4:00 p. m. CST. The shift timings can be changed as per client requirements.
This is currently a work from home position but may require to be in office as determined by management. This is a multi-skilled position and you will up-trained as determined by management.
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