FULLY REMOTE- Claims Customer Service Representative

TEKsystems•Houston, TX

1d•$20 - $22•Remote

About The Position

TEKsystems is hiring a fully remote Claims Customer Service Representative to work for a financial client. This position would interview right away and would start within the next couple of weeks. The role involves handling an average of 40-50 customer service calls per day, providing customers with timely, accurate, and customer-focused benefit and claim information. Responsibilities include soliciting and entering the information needed to process claims accurately and in a timely manner, recording summaries of information exchanged in the claim system with a high level of accuracy and detail, issuing timely and accurate claim acknowledgement correspondence, and processing incoming documents with high coding integrity and distributing them immediately.

Requirements

Supplemental health claims experience
Knows CPT/HCPCS/REV/ICD 10 codes and the forms that providers and facilities use to bill insurance companies
1-2+ Years of previous experience within health insurance claims and benefits particularly, Scheduled Accident, Critical Illness, or Hospital Indemnity
1+ year call center experience (remote call center preferred)
Know how to read medical claims forms (HCFA 1500 & UB04)
Understand how to read medical records, EOBs, CPT codes is helpful

Responsibilities

Average 40-50 Customer Service Calls per day
Provide customers with timely, accurate, and customer-focused benefit and claim information.
Solicit and enter the information needed to enter and process claims accurately and in a timely manner
Record summaries of information exchanged in our claim system with a high level of accuracy and detail easily understood by the user
Issue timely and accurate claim acknowledgement correspondence
Process incoming documents with high coding integrity and distribute immediately