Talentify.io
Get hired today! Remote Healthcare Customer Service Representative
Talentify.io, Little Ferry, New Jersey, us, 07643
Industry:
Healthcare Systems and Services
Why Consider This Job Opportunity:Competitive salary up to $14.25/hr in training (Spanish Bilingual), $15.25/hr in production (Spanish Bilingual).Earned PTO and referral bonus potential up to $400.Comprehensive benefits package including medical, dental, vision, and 401K.Opportunity for career growth and advancement.Work-from-home position with flexible scheduling.What To Expect (Job Responsibilities):Perform PCP Change/Provider Lookup.Look up Medical Benefits such as benefit maximums, copay/coinsurances, Prior Authorization pre-requisite, and coverage.Review of Ancillary Benefits such as Dental, Vision, Over the Counter, etc.Process claims inquiries, Member may receive a bill for a service (ex: MRI procedure).Answer enrollment/disenrollment inquiries.Answer Grievances/Complaints.Perform billing such as making payments, transaction history, premium inquiries, etc.Manage LEP inquiries and disputes.Assist in material requests such as ID cards, Large/Braille print materials, and Catalogs.Provide self-help options such as member portal.Provide local locations to pharmacies, OTC and Specialist.What Is Required (Qualifications):High School diploma or equivalent.Call Center Experience.Healthcare background a plus.Computer Experience.Ability to multi-task.Strong written and oral communication skills.Ability to display empathy and care.How To Stand Out (Preferred Qualifications):N/A
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Healthcare Systems and Services
Why Consider This Job Opportunity:Competitive salary up to $14.25/hr in training (Spanish Bilingual), $15.25/hr in production (Spanish Bilingual).Earned PTO and referral bonus potential up to $400.Comprehensive benefits package including medical, dental, vision, and 401K.Opportunity for career growth and advancement.Work-from-home position with flexible scheduling.What To Expect (Job Responsibilities):Perform PCP Change/Provider Lookup.Look up Medical Benefits such as benefit maximums, copay/coinsurances, Prior Authorization pre-requisite, and coverage.Review of Ancillary Benefits such as Dental, Vision, Over the Counter, etc.Process claims inquiries, Member may receive a bill for a service (ex: MRI procedure).Answer enrollment/disenrollment inquiries.Answer Grievances/Complaints.Perform billing such as making payments, transaction history, premium inquiries, etc.Manage LEP inquiries and disputes.Assist in material requests such as ID cards, Large/Braille print materials, and Catalogs.Provide self-help options such as member portal.Provide local locations to pharmacies, OTC and Specialist.What Is Required (Qualifications):High School diploma or equivalent.Call Center Experience.Healthcare background a plus.Computer Experience.Ability to multi-task.Strong written and oral communication skills.Ability to display empathy and care.How To Stand Out (Preferred Qualifications):N/A
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