Claims Support Advocate (Temp)
New
I
Included HealthHealth Insurance
RemoteContractMiddle
Salary22.08 USD per hour
Apply NowOpens the employer's application page
Job Details
- Experience
- 1 year experience in customer service roles; 3 years of revenue cycle or carrier experience
- Required Skills
- Data AnalysisCustomer serviceGoogle WorkspaceSlack
Requirements
- 1 year of experience in customer service roles.
- 3 years of revenue cycle or carrier experience.
- Prior work experience in a claims support and health insurance role.
- Ability to take meticulous notes and document actions taken.
- Highly effective communication, problem resolution, and organizational skills.
- Demonstrated ability to meet goals in a rapidly changing environment.
- Excellent data and overall analytical skills.
- Excellent written and verbal communication skills.
- Proven record of excellent time management and prioritization skills.
- Ability to troubleshoot basic technical issues.
- Medical billing/coding certification (CPC) is beneficial.
- College degree preferred (additional experience in lieu of college degree will be considered).
Responsibilities
- Provide effective and timely customer service for members, providers, insurers, and clients regarding health care claims.
- Ensure timely follow-up on requests for accounts to be reviewed.
- Organize health insurance paperwork and medical record documentation.
- Communicate timely status updates to patients throughout the claims process.
- Negotiate with providers on plan member balances.
- Appeal claim denials from the insurance company.
- Contact providers and insurance companies to resolve claim concerns.
- Assist members with understanding explanation of benefits (EOBs) and resolving claim errors or denials.
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