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Medical Claims Representative

Accountemps • Plainfield, IN

Posted 25 days ago

Job Snapshot

Full-Time/Part-Time
$16.00 - $19.00/Hour
Accounting - Finance, Banking - Financial Services, Credit - Loan - Collections
Accounting, Finance, Professional Services

Job Description

Ref ID:01401-0011000133

Classification:Accounting - Medical

Compensation:$16.00 to $19.00 per hour

Robert Half Healthcare Practice has partnered with a well-known healthcare company in Plainfield, IN to secure a full-time Medical Claims Customer Service Representative in a high-volume call center environment for Provider Services! This person receives and responds to customer inquiries via telephone and written correspondence regarding eligibility, benefits and authorization services. For this position, the representative must be available to work an 8-hour shift between the hours of 8:00am - 8:00pm. Position Responsibilities: -Receive and respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources -Research and provide information regarding member?s eligibility, benefits, referrals and authorizations -Provide assistance to members and/or providers regarding website registration and navigation -Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application -Educate providers on prior authorization requirements, how to access services and other routine, non-clinical issues and process for submitting outpatient treatment requests for outpatient therapy -Maintain performance and quality standards based on established call center metrics including turn-around times -Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment -Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reduction For immediate consideration, please send your resume directly to alyssa.branscum@accountemps.com

Job Requirements

- High school diploma or equivalent - Experience with Medical Claims - Minimum of 1 year of call center customer service experience, preferably in a Medicare, Medicaid managed care or insurance environment - Ability to work an 8-hour shift between the hours of 8:00am - 8:00pm

Accountemps matches highly skilled professionals with accounting finance jobs at the best companies on a temporary and temporary-to-hire basis. Our mission is to provide you with a rewarding finance or accounting job that is well matched to your professional skills – helping you to advance in your career. Our experience, combined with the resources of our worldwide network of offices, makes Accountemps a great resource for your career. We offer excellent opportunities to find temporary accounting and finance jobs for all experience levels. From accounting clerks and bookkeepers to accounts payable and staff accountants, we can provide you unparalleled access to exciting career opportunities. But don't take our word for it. Our company has appeared on Fortune® magazine's list of "World's Most Admired Companies" since 1998, and 9 out of 10 of our customers would recommend our service to a colleague.

Contact your local Accountemps office at 888-490-3195 or visit www.accountemps.com to apply for this job now or find out more about other job opportunities.

All applicants applying for U.S. job openings must be authorized to work in the United States. Robert Half will consider qualified applicants with criminal histories in a manner consistent with the requirements of the San Francisco Fair Chance Ordinance.

© 2019 Accountemps. An Equal Opportunity Employer M/F/Disability/Veterans

By clicking 'Apply Now' you are agreeing to Robert Half Terms of Use.
Job ID: 01401-0011000133
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