VBC Customer Service Representative II

Profile

VBC Customer Service Representative II','!*!

As a part of the Tenet and Catholic Health Initiatives

family, Conifer Health brings 30 years of healthcare industry expertise to

clients in more than 135 local regions nationwide. We help our clients

strengthen their financial and clinical performance, serve their communities

and succeed at the business of healthcare. Conifer Health helps organizations

transition from volume to value-based care, enhance the consumer and patient

healthcare experience and improve quality, cost and access to healthcare. Are

you ready to be part of our solutions? 

Welcome to the company that gives you the resources and incentives to

redefine healthcare services, with a competitive benefits package and

leadership to take your career to the next step!

JOB SUMMARY

Responsible for answering incoming calls from providers, health

plan and members as they relate to eligibility, benefits, claims, coverage and

authorization of services. This position supports multiple lines of business

and will also problem-solve and explain programs and procedures to callers and

will answer/address claim payment questions with providers.

 

ESSENTIAL

DUTIES AND RESPONSIBILITIES

Include

the following. Others may be assigned.

Answering

incoming phone calls via ACD phone systemEntering

of telephonic referrals  Provide

eligibility, benefits, claim and referral status depending on the queue on

which they serveRetrieve

Voice MailsAssist

in resolving issues for providers as they relate to claims, authorization and

eligibility inquiriesServes

as resource to CSRI Special

projects as assignedAble

and willing to step in, in the absence of the lead and or supervisor to lead

the team.','!*!

KNOWLEDGE,

SKILLS, ABILITIES

To perform

this job successfully, an individual must be able to perform each essential

duty satisfactorily. The requirements listed below are representative of the

knowledge, skill and/or ability required. Reasonable accommodations may be made

to enable individuals with disabilities to perform the essential functions.

A strong sense of

responsibility for providing a great customer experienceDetail-oriented

and highly-organizedLeadership skills Excellent verbal

and written communication skills.Excellent

organization skills with ability to handle multiple tasks and prioritize

work.Knowledge of CPT,

ICD-10, HCPCS codes, HCFA1500 and UB04 billing forms. 

EDUCATION /

EXPERIENCE

Include

minimum education, technical training, and/or experience preferred to perform

the job.

2-3

years of customer service experience in a call center and or health care

environment preferredHigh school degree

or equivalent required, Bachelor degree preferred 

PHYSICAL

DEMANDS

The physical

demands described here are representative of those that must be met by an

employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities

to perform the essential functions.                     

Must be able to work in sitting position, use computer

and answer telephone

 

WORK

ENVIRONMENT

The work

environment characteristics described here are representative of those an

employee encounters while performing the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities

to perform the essential functions.  

Office Work Environment 

OTHER

','Conifer Health Solutions','MD-Annapolis','','','Full-time','Full-time','Days','Days','','','','','','','2005044898','VBC Customer Service Representative II

Company info

TH Medical.
Website : http://www.tenethealth.com