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Position Applying For:ZDNU-Customer Service/Call Center Representative I

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  • ZDNU-Customer Service/Call Center Representative I  | USA-PA-3401-G-LLC: Wilkes-Barre, USA  |  | 14-APR-21
    MAX BILL RATE $20.02    JOB SUMMARY     The primary function of an Account Associate/Customer Service Representative is to take incoming calls/make outbound calls while researching and reviewing medical claims/ benefits for information. Associate will be contacting patients and payors to facilitate correct processing of claims.      ESSENTIAL FUNCTIONS:   • Contacting payors and patients to collect on outstanding claims  • Research claim denials on behalf of our clients, make determination on proper next step for claim resolution  • Update, correct and rebill medical claims according to proper billing guidelines   • Attention to Detail and Accuracy.   • System savvy – Multi applications.  • High Call Volumes (Inbound/Outbound).  • Process Daily Correspondence (Mail, Fax, and Emails)  • Provides assistance/resolution to client’s inquiries  • Uses appropriate systems for payment determination  • Supports and assists team members  • Maintain a current working knowledge of all healthcare related issues and regulations  • Documents response activities to patient claim inquires following Genpact client guidelines and system tasks and notes  • Performs other related projects and duties as assigned        REPORTING RELATIONSHIPS:      Assistant Manager/Operations Manager      INTERACTIONS:     Must be able to handle yourself in a professional manner. Patient discussions may include but not be limited to past due health care claims, Claims research, including but not limited to, contracts, partial pays and denials.       KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:    • PC literate including AR software, Microsoft Office with strength in Excel  • Ability to handle calls in a fast paced call center environment  • Ability to handle irate callers in a professional manner  • Phone etiquette skills required  • Ability to work independently and as a team member  • Detail oriented and highly organized  • Ability to meet deadlines  • Must be able to work on multiple tasks/projects sim

    Qualifications

    ltaneously    EDUCATION AND EXPERIENCE:     • High School Diploma or GED  • Background in a Healthcare claims/customer servic