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Job Application :

178383439514536849848440025371713214872

Job being applied to: Customer Service - Customer Service/Call Center Representative I

JobRegion

  • Customer Service - Customer Service/Call Center Representative I  | USA-PA-Wilkes-Barre  |  Full-time | 25-JUN-19
    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

    Qualifications

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

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