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Customer Service Representative

Kforce Finance and Accounting Scarborough, ME Contractor
$14.00 - $15.00 / hour
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Kforce has a client that is seeking 5 Call Center/Customer Service Representatives in Scarborough, Maine (ME). The start date is as soon as possible. The schedule is Monday-Friday. They have to work an 8-hour shift between 6 AM - 6 PM. Essential Functions:
  • Review Errored Claims and researches guidelines to ensure proper correction, adjustments, or modifications in the appropriate system with documented billing procedures
  • Maintains active working knowledge of Governmental mandated regulations as it pertains to claim submission
  • Responsible for contacting Clinical and Health Information Management to obtain information relevant to correcting erred claims
  • Review and resolve claims that are suspended in Host medical system, billing system, or rejected prior to payer submission daily
  • Ensures claims are submitted timely and no filing deadlines denials are received
  • Maintains and improves payer specific edits within Host Medical system and billing system in working towards zero touch claim submission to payers and minimization of biller intervention on generated claims
  • Works towards accurate and complete account resolution within 120 days of patient discharge
  • Answer inbound telephone calls, route calls accurately, and perform other duties as assigned
  • Respond to verbal and/or written inquiries, record details and help resolve complicated customer concerns
  • Coordinate and expedite customer inquiries to other departments for resolution


  • 0 - 2+ years of experience
  • Intermediate Excel experience
  • Strong communication skills
Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

Recommended skills

Customer Service
Call Centers
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Job ID: FATND1857019


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