Business Integra - San Diego, CA

posted 2 months ago

Full-time - Entry Level
San Diego, CA
Professional, Scientific, and Technical Services

About the position

The Customer Service Representative plays a crucial role in fostering positive relationships with members, providers, and health plans. This position is responsible for resolving issues related to authorization processing, claim research, coordinating translation services, and managing Primary Care Provider changes. The role requires a strong background in healthcare customer service and knowledge of medical terminology.

Responsibilities

  • Promote favorable relationships with members, providers, and health plans.
  • Resolve issues related to authorization processing.
  • Conduct claim research and coordinate translation services.
  • Manage changes to Primary Care Providers.

Requirements

  • 1 year of experience as a Customer Service Representative in a healthcare setting.
  • Knowledge of medical terminology including ICD-10 codes, CPT codes, and HCPC codes.
  • Proficiency in computer skills including Excel, Word, Outlook, and data entry systems.

Nice-to-haves

  • Bachelor's degree in a relevant field.

Benefits

  • Competitive hourly pay of $20 - $21.
  • Temporary contract position with a structured schedule.
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