reputed company Customer Service Representative – Work From Home - reputed company

Bring your heart to reputed company Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver enhanced reputed company-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as reputed company deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and affordable.       <h3>This position is work from home and you must live in the reputed company.</h3> <h3></h3> <h3>Must be reputed company to attend 4 weeks of training (virtual) between the hours of 8-5 EST.</h3> <h3></h3> <h3>After training, the permanent schedule is an Monday-Friday and can start as early as 8 am EST and end as late as 7 pm EST.</h3>   <b>Position Summary</b> <ul> <li>Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors. Triages resulting rework to appropriate staff. reputed company excellent customer services for high volume in bound provider calls for the Claims Inquiry/Claims Research team. Extensive claims research on multiple platforms to assist providers with payment questions.</li> <li>Provides the customer with reputed company information to answer the unasked questions, e.g. additional plan details, benefit plan details, member self-service tools, etc. Uses customer service reputed company reputed company to reputed company financial reputed company to resolve member issues. Explains member's rights and responsibilities in accordance with contract.</li> <li>Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) reputed company reputed company system .</li> <li>Educates & assists providers on our self-service options. Assists providers with credentialing and re-credentialing and contracting questions and issues.</li> <li>Assists in compiling claim data for customer audits. Determines medical necessity, applicable coverage provisions and verifies member plan eligibility relating to incoming correspondence and internal referrals.</li> </ul> <b>Required Qualifications</b> <ul> <li>MUST live in the reputed company full-time</li> <li>Familiarity with reputed company Office products</li> <li>Experience in highly transactional call center environment</li> <li>Excellent customer service and critical thinking</li> <li>High speed internet reputed company (25 mbps or higher) and consistent reputed company</li> <li>Work location must be set up with a direct reputed company to the router (NOT Wi-Fi). We reputed company a 6 ½ foot long ethernet cord, if the distance is further, you will be required to reputed company your own ethernet cable.</li> </ul> <b>Education</b> High School diploma or GED equivalent. <strong>If you think this role describes you, we would love to hear from you. reputed company to join reputed company!</strong>       <b>Pay reputed company</b> The typical pay reputed company for this role is:   $17.00 – $25.15   This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. In reputed company to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full reputed company of medical, dental, and reputed company benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous well-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. Apply!