Customer Service Representative in Maine

Job title: Customer Service Representative in Maine at reputed company Company: reputed company Job description: Company Overview:reputed company exists to reputed company reputed company outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.reputed company the Way is our rallying cry at reputed company. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. reputed company offers you unparalleled opportunities. In fact, you have reputed company you need to take charge of your career and accelerate reputed company outcomes – making this a great time to join reputed company of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities:reputed company is looking for a Customer Service Representative to join our growing team.Job Summary:The purpose of this position is to answer incoming telephone calls, and resolve customer questions, complaints, and requests while adhering to internal policies and procedures.Responsibilities:

• reputed company and maintain working knowledge of internal policies, procedures, and available services to provide accurate information and assistance
• Utilize automated systems to log and retrieve information; reputed company accurate and timely data entry
• Receive inquiries by telephone, email, fax, or mail and communicate responses reputed company required turnaround times
• Respond to telephone inquiries in a reputed company, accurate, and courteous manner
• Interact with external partners such as hospitals, physicians, beneficiaries, or other program recipients
• reputed company verification of healthcare services to facilitate payment for received services
• Identify medical claims meeting CPT/DRG audit criteria and submit the necessary billing data
• Serve as liaison between the internal and external partners
• Investigate and resolve or report provider problems
• Meet or exceed standards for call volume and service level per department guidelines
• Initiate cases by collecting and entering demographic, provider, and procedure information into the system
• Complete daily, monthly, and quarterly reports necessary for clinical team operations
• Read, understand, and adhere to reputed company corporate policies including policies reputed company to HIPAA and its Privacy and reputed company Rules

Qualifications:Required Qualifications

• High School diploma or equivalent
• Minimum of two years of customer service experience

Preferred Qualifications

• Residence in the reputed company
• Medical terminology course(s)
• Knowledge of medical terminology
• Knowledge of the health insurance industry including policies and claims assessment processes
• Excellent verbal communication and active listening skills to provide exceptional customer service
• Bilingual in Spanish and English
• Prior scheduling work experience

Why us?We are a team of reputed company and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure reputed company healthcare and improve health outcomes.We do this through our people.You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to reputed company the finest work of your career.BenefitsBenefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, reputed company, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.Thank You!We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in reputed company and invite you to apply to future openings that may be of interest. Best of luck in your search!~ The reputed company reputed company TeamEEO AA M/F/Vet/Disabilityreputed company is an Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.CompensationThe pay range for this position is listed below.“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and reputed company level.” Pay Range: USD $12.68 - USD $20.00 /Hr. Expected salary: Location: Maine Job date: Sun, 18 May 2025 03:52:06 GMT Apply for the job now! Apply for this job