Role & Company Overview
📋 Role Overview & Responsibilities
Title: Claims Customer Service RepresentativeLocation: Atlanta, GA 30341Type: Contract
Job Description:With direct supervision, the Claims Customer Service Rep will Analyze, review and adjudicate health insurance claims as well as Process health insurance claims for inpatient, outpatient facility and professional services. Core Responsibilities:Understanding and interpreting health plan benefits and determining patient eligibilityMaintaining patient confidentiality in accordance with Health Insurance Portability and Accountability Act (HIPAA) guidelineHandle taking new claims and provide basic claim customer serviceProcesses enrollment and eligibility changes from members and/or internal reportsProfessionally handle requests from client and ensure that issues are resolved both promptly and thoroughlySetting up claims and updating pertinent claims data into various claims systemsProviding assistance with the completion of various claims related projects
Qualifications:· High School/GED required· 1 – 3 years’ experience in back office processing or related field· Must work well under pressure· Have excellent interpersonal and communication skills· Strong computer knowledge· Familiar with Microsoft Office· 10-key operation by touch· Ability to complete extensive training program with satisfactory results
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This position is located in Atlanta, GA with potential relocation and sponsorship assistance depending on candidate qualifications.
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