AllCare Management Services-posted 3 months ago
Full-time • Entry Level
Grants Pass, OR

This position serves as a primary point of contact for provider offices, managing high volumes of incoming phone calls and email inquiries with professionalism and accuracy. The role focuses on building and maintaining positive provider relationships by delivering timely resolutions, aiming for a 95% same-day call resolution rate. In addition to frontline support, the position includes claims processing responsibilities during designated rotation periods.

  • Respond promptly to inbound calls and provider portal emails from provider offices or their authorized representatives, ensuring inquiries are addressed with professionalism and accuracy.
  • Accurately document all calls in the incident module of the core claims system (or other approved software). Reprocess claims when appropriate and ensure provider concerns are resolved effectively.
  • Understand and address provider inquiries by reviewing prior case history, gathering and researching relevant data, and delivering accurate responses. Confirm provider understanding of the information shared.
  • High school diploma or general education degree (GED).
  • Six months to one-year experience and/or training in claims, call center or Healthcare related position.
  • An AAPC Certified Professional Coder certificate is required or to be obtained within 12 months of hire date.
  • Bilingual in another language, including American Sign Language (ASL).
  • Experience in interpreting data, identifying process improvements, and synthesizing information from multiple sources.
  • Knowledgeable in training best practices, adult learning principles, and the impact of identity, bias, and equity in organizational systems.
  • Competitive wages
  • Affordable healthcare
  • 401k retirement
  • Wellness programs
  • Flexible schedule options
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service