Temp Remote Complaint Handling Jobs in Minnesota

Overview of Responsibilities:
We are seeking a dedicated Customer Service Representative to join our Provider Contact Center team as a telecommuter in California. The selected candidate should be familiar with HMOs, claims processing, and authorization/referral procedures. The Customer Service Representative is responsible for providing exceptional service to our provider offices.
Key Responsibilities:
• Handle a high call volume, averaging 60 calls per day.
• Maintain a service level of 80/30, answering 80 percent of calls in 30 seconds or less.
• Assist members and healthcare providers with inquiries related to authorizations, claims, and provider billing.
• Process claims and ensure accuracy in claim handling.
• Collaborate with colleagues in the provider support center to address customer concerns and resolve issues promptly.
• Utilize IDX for claims processing
Must-Have Skills/Qualifications:
• 1+ years of customer service or member service experience.
• Exp with claims/claims processing
• Strong understanding of Health Maintenance Organizations (HMOs). • Familiarity with authorization and referral processes.
• Experience in managing a high call volume efficiently.
• Excellent communication and problem-solving skills.
• Ability to work independently in a remote setting.
• M-F 7:30am-4:00pm
Duration : We should be framing these high as temp. They work off of Work Orders (Typically 3-6 months to start) for a set amount of time but if they are good they almost always get extended. When they get approval for a Full Time opening is when they flip the temp over to an FTE.
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
* As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients