Offer summary

Qualifications:

High School diploma or equivalent required., 2+ years of customer service experience in a call center environment preferred., Ability to effectively communicate with team members and external customers is essential., Knowledge of Medicaid eligibility and CPT/HCPCS codes is a plus..

Key responsabilities:

Support the Medicare Appeal process by answering incoming calls and resolving customer inquiries.

Utilize automated systems for logging and retrieving information and perform data entry of electronic faxes.

Investigate and resolve customer problems, escalating difficult situations as necessary.

Maintain logs of incoming and outgoing calls and serve as a liaison between Review Supervisors and external providers.

Job description

Our Client, a Healthcare company, is looking for a Customer Service Representative for their Remote location.

Responsibilities:

The Customer Service Representative is responsible for supporting the Medicare Appeal process by answering incoming telephone calls, resolving customer questions, complaints and requests adhering to internal policies and procedures and utilizing working knowledge of the organization’s services to meet productivity and quality standards.
Develops and maintains working knowledge of internal policies, procedures, and services (both departmental and operational) Utilizes automated systems to log and retrieve information. Performs accurate and timely data entry of electronic faxes
Receives inquiries from customers or providers by telephone, email, fax, or mail and communicates response within required turnaround times
Responds to telephone inquiries and complaints in a prompt, accurate, and courteous manner following standard operating procedures
Interacts with hospitals, physicians, beneficiaries, or other program recipients Investigates and resolves or reports customer problems. Identifies and escalates difficult situations to the appropriate party
Meets or exceeds standards for call volume and service level per department guidelines Initiates files by collecting and entering demographic, provider, and procedure information into the system
Serves as liaison between the Review Supervisors and external providers Maintains logs and documents disposition of incoming and outgoing calls

Requirements:

High School diploma or equivalent
2+ year’s customer service/telephone experience in a similar call center environment and/or industry.
Must have ability to effectively communicate with team members and external customers
Must have ability to research and resolve issues related to Medicaid program and service eligibility
Previous experience in the medical office or other medical setting preferred
General knowledge of eligibility verification (Medicaid eligibility and program requirements for specific program of focus preferred)
Knowledge of CPT and HCPCS codes preferred
PC proficiency to include Microsoft Office Suite
Experience with Microsoft programs

Why Should You Apply?

Health Benefits
Referral Program
Excellent growth and advancement opportunities

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.

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