Customer Service Representative
New
F
firstsourcHealthcare Services
United States, Monday-Friday 1.30pm-clean deskFull-TimeEntry
Salary14 USD per hour
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Job Details
- Required Skills
- Data entry
Requirements
- Proficiency in data entry and accurate documentation processing.
- Ability to navigate and use multiple client-specific systems and portals.
- Familiarity with Grievance and Appeals processes within a healthcare context.
- Understanding of HIPAA regulations and data privacy requirements.
- Strong attention to detail and ability to identify information discrepancies.
- Ability to follow complex workflows and standard operating procedures.
- Available to work Monday-Friday, 1:30 PM until work is completed.
Responsibilities
- Review incoming Grievance and Appeals documents for completeness, legibility, and relevance.
- Accurately identify and assign the correct Line of Business (LOB) based on client and regulatory definitions.
- Determine and classify the dispute type in accordance with client-specific guidelines.
- Access multiple client systems and portals to retrieve, verify, and validate member information.
- Index documents by entering required data fields accurately into internal systems or client platforms.
- Normalize and prepare documents to ensure all necessary information is available for downstream processing.
- Adhere to all HIPAA, data privacy, and security requirements when handling protected health information (PHI).
- Meet established productivity, accuracy, and quality standards.
- Follow client-specific workflows, job aids, and standard operating procedures.
- Identify discrepancies, missing information, or indexing issues and escalate according to established procedures.
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