Healthcare Customer Service Specialist II
BASF
full-time
Posted on:
Location Type: Remote
Location: Remote • Texas • 🇺🇸 United States
Visit company websiteSalary
💰 $19 per hour
Job Level
JuniorMid-Level
About the role
- Maintain a current knowledge of all contract requirements and objectives.
- Develop professional working relationships with colleagues, healthcare providers and other Medicare contractors.
- Take inbound calls from providers to answer questions and resolve complex issues.
- Make outbound calls to healthcare providers as a courtesy to confirm if letters requesting records for review have been received.
- Respond to assigned written communications from providers timely and accurately.
- Educate providers on proper process protocols and their appeal rights.
- Establish appropriate contacts and perform necessary research to validate provider contact information.
- Conduct critical due diligence follow-ups if additional research or action is required to resolve an inquiry.
- Enter and update all contact and activity information into tracking logs and the audit platform where not automatically completed by the system, e.g., a telephone call, correspondence responses, special notes, etc.
- Research and route internal/external communications to the appropriate person or department.
- Notify management of: all escalated displeasure with the audit program legal action government intervention escalated concerns regarding audit issues and edit parameters. suggestions to improve or correct processes or documents.
- Perform miscellaneous duties as assigned in a highly professional manner.
Requirements
- At least two years’ experience in a call center or customer service position required.
- At least one year claims processing/billing experience preferred.
- High School diploma or GED is required.
- Must maintain HIPAA Certification.
Benefits
- medical
- dental
- vision
- disability coverage options
- life insurance coverage
- 401(k) savings plans
- paid family/parental leave
- 11 paid holidays per year
- sick time
- vacation time off annually
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims processingbilling
Soft skills
communicationrelationship buildingproblem solvingresearchdue diligenceprofessionalism
Certifications
HIPAA Certification