Senior Customer Service Associate
Location
Chennai | India
Job description
Duties/Responsibilities:
- Receive and respond to inbound phone calls for customer assistance
- Be a peer mentor
- Take escalated calls and issues as experience dictates
- Respond to outbound phone call requests
- Document all calls in ticketing and tracking systems
- Respond to customer inquiries and provide data to customers within a required time frame
- Act as liaison between the claims department and providers
- Research customer claims in the primary payor systems
- Ensure the highest level of customer service on every call
- Perform other duties as assigned or necessary
Required Skills/Abilities
- High school degree required; bachelor's degree preferred with three (3) plus years of relevant professional experience in healthcare claims operations for a large national/regional or Blues health plan or insurance company and/or TPA.
- Previous Health Care Call Center/Customer Service Experience.
- Desired Skills: Knowledge of physician practice and hospital coding, billing and medical terminology
- Experience with UB/Institutional (UB04); Professional (CMS1500) claims and HIPAA-compliant EDI formats for claims-related exchanges. Understand CMS guidelines for claims processing.
- Must be able to work with minimal supervision.
- Maintain a comprehensive understanding of the covered benefits, coding, and reimbursement policies and contracts.
- Excellent verbal and written communication skills.
- Attention to detail and problem-solving skills
- Proficiency with MS Office applications, especially Word and Excel.
Location: Chennai
Job tags
Salary
