Skip to Main Content
← Back to Jobs

BHJOB22463_619_Healthcare Customer Service Representative

VP Total Solutions Flint, MI
  • Posted: 20 days ago
  • Other

JOB DESCRIPTION

This position will be responsible for daily member telephone calls which will include directing members to the proper services needed, educating members, problem solving, and creating linkages to the Medical Management Department for authorization of services. Also responsible for assisting providers with eligibility, benefits, and resolution of claims issues.

Qualifications

Required:

High School Diploma or equivalent certification

Two (2) years’ experience in a high-volume call center

Preferred:

In-depth understanding of claims administration as it pertains to provider payments, including CPT-4 codes, revenue codes, HCPCS codes, DRGs, etc.

Associate Degree in business, health care or related field. Two (2) years’ experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions (e.g. accounting/finance, reinsurance, EDI, marketing, administration, medical delivery, regulatory compliance, claims processing, membership/eligibility, contracting and risk arrangements and actuarial precepts).

#ZR

VP Total Solutions

Why Work Here?

Exellent contractor representation and support.

VP Total Solutions is a creative and flexible staffing firm specializing in contract to hire, long-term contract and direct placement. We have the ability to save companies thousands of dollars due to our low overhead business structure without compromising quality or quick turnaround. Healthcare, IT, Automotive, Engineering, Clerical, Call Center, Manufacturing and General labor are just some examples of the industries we focus on. We literally have thousands of resumes in our database full of candidates that could be a perfect fit for your hiring needs. This is a challenging position in a nice, clean environment with a world class company and there is plenty of room for growth! With over 60 years of experience in the staffing business, we are professionals that analyze your business and company culture to ensure a great fit at a great rate! VP Total Solutions offers Health Benefits w/Vision Insurance, Life and Disability insurance and paid holidays after 90 days of employment. We look forward to helping you with any upcoming projects or helping you manage your workforce by placing the right person in the right job!

What email should the hiring manager reach you at?

By clicking the button above, I agree to the ZipRecruiter Terms of Use and acknowledge I have read the Privacy Policy, and agree to receive email job alerts.

What email should we contact you at once we get salary info from the hiring manager?

By clicking the button above, I agree to the ZipRecruiter Terms of Use and acknowledge I have read the Privacy Policy, and agree to receive email job alerts.

Our qualification feature is only available to registered members - what email address would you like for us to keep on file?

By clicking the button above, I agree to the ZipRecruiter Terms of Use and acknowledge I have read the Privacy Policy, and agree to receive email job alerts.