Customer service Representative - Remote (Claims & Insurance)
## Job Overview
We are seeking a detail-oriented Claims Representative to join our team. The ideal call center agent be responsible for processing and managing medical claims, ensuring accuracy and efficiency in claims resolution
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## Duties
- inbound outbound call support.
- good understanding of Microsoft excel.
- Review and process health insurance claims for accuracy and completeness
- Utilize financial software to assess and calculate claim amounts
- Understand and apply ICD-9 coding to claims
- Maintain medical records and documentation related to claims
- Familiarity with Workers' Compensation laws and regulations
- Verify insurance coverage and eligibility for claimants
- Knowledge of medical terminology to accurately assess claims
- Collaborate with medical billing teams for claim processing
- Ensure proper insurance verification procedures are followed
- ## Requirements
- Previous experience in clerical roles within the insurance or healthcare industry is preferred
- Proficiency in financial software for claims processing.
- proficient in Microsoft excel.
- good call center experience.
- Knowledge of Workers' Compensation laws is a plus
- Strong attention to detail and accuracy in claim assessment
- Excellent communication skills for interacting with claimants and internal teams
Job Type: Full-time
Pay: $13.50 per hour
Expected hours: 40 per week
Benefits:
? Work from home
Schedule:
? 8 hour shift
? Monday to Friday
Education:
? High school or equivalent (Preferred)
Experience:
? Microsoft Office: 1 year (Preferred)
? Customer service: 1 year (Preferred)
? Call center: 1 year (Preferred)
? MEDICAL/HEALTHCARE CLAIMS: 1 year (Preferred)
? Microsoft Excel: 1 year (Preferred)
? INBOUND / OUTBOUND CALL: 1 year (Preferred)
? spreadsheet in excel: 1 year (Preferred)
Work Location: Remote
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