Customer Service / Call Center experience
Strong customer relations
Strong interpersonal skills
Must speak fluent English and Spanish with strong reading and writing abilities
Proficient with Microsoft applications and computer navigation
Knowledge of provider organizations and networks
Knowledge and understanding of CMS Medicare reimbursement rates
Ability to negotiate rate structures
Patience in difficult situations
Initiative to resolve situations
Excellent verbal and written communication skills
Independent judgment in decision making and problem solving
Ability to multi-task & anticipate potential needs/problems
Strong attention to detail
Understanding of Self-Funded health benefits a plus
Health Payor background preferable in self-funded industry a plus
Claim processing skills a plus
Insurance verification or pre-certification a plus
Provider office/facility billing department or financial area TPA experience a plus

Benefits

paid time off
medical
dental
vision
short and long-term disability
life insurance
AD&D
401k with match
critical illness coverage
legal plan
identity theft coverage
pet insurance
discount programs

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

customer servicecall center experiencenegotiation skillsclaim processinginsurance verificationpre-certificationknowledge of provider organizationsknowledge of CMS Medicare reimbursement ratescomputer navigationMicrosoft applications

Soft Skills

strong customer relationsstrong interpersonal skillspatienceinitiativeexcellent verbal communicationexcellent written communicationindependent judgmentproblem solvingmulti-taskingattention to detail