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Join our team as a Senior Customer Care Representative! Leverage your expertise in medical insurance claims and customer service to ensure accuracy and satisfaction. If you excel in CRM systems, documentation review, and thrive in a fast-paced environment, this is your opportunity to make a real impact in the healthcare insurance industry.
Job Responsibility
Performs timely and accurate review of electronic records/documentation scanning for completeness of submissions in accordance with established policies
Identifies opportunities and reports on inaccuracies that may be present in reviewed documents
Learns CRM system and is able to access different internal online resources to obtain required information in a timely manner
Performing inbound and outbound calls to insurance companies, medical facilities and customers in the US
Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met
Analyzing medical insurance claims for quality assurance
Resolving moderately routine questions following pre-established guidelines
Performing routine research on customer inquiries
Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
Requirements
Proficiency in Microsoft office programs and general computer operations
Ability to learn and follow basic direction on process
Must have mastery of the English language, both oral and written
Must be detail-oriented and organized to maintain accurate records
Must have the ability to focus and work quickly
Able to work independently
Sense of urgency in reporting any concerns to immediate supervisor
High School diploma or equivalent required
1-2 years’ experience working in the medical field preferred