Responsibilities:
- Performs timely and accurate review of electronic records/documentation scanning for completeness of submissions in accordance with established policies.
- Identifies opportunities and reports on inaccuracies that may be present in reviewed documents
- Learns CRM system and is able to access different internal online resources to obtain required information in a timely manner.
- Performing inbound and outbound calls to insurance companies, medical facilities and customers in the US.
- Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met
- Analyzing medical insurance claims for quality assurance
- Resolving moderately routine questions following pre-established guidelines
- Performing routine research on customer inquiries.
- Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
Requirements:
- Proficiency in Microsoft office programs and general computer operations
- Ability to learn and follow basic direction on process
- Must have mastery of the English language, both oral and written
- Must be detail-oriented and organized to maintain accurate records
- Must have the ability to focus and work quickly
- Able to work independently
- Sense of urgency in reporting any concerns to immediate supervisor
- High School diploma or equivalent required
- 1-2 years experience working in the medical field preferred
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