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Healthcare Claims Processing - position offers a PENSION!

Volt Burbank, CA

  • Posted: over a month ago
  • $48,000 to $58,000 Yearly
  • Full-Time
Job Description

Excellent Opportunity as a Sr. Participant Services Specialist, processing healthcare insurance claims (Custom Care). This position is a Direct Hire opportunity offering Health Benefits and a good annual salary based on expertise.
This will also give you the opportunity to work for a very reputable company that offers a wonderful work culture and allot of room for advancement and promotions, great Benefits and a Pension
The responsibilities include processing health insurance claims and answering calls from physicians, hospitals and participants for a multi-employer Fund.

PRIMARY RESPONSIBILITIES:
  • “World Class Customer Service.”
  • Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payment inquiries, authorizations for treatment and explanation of benefits (EOBs)
  • Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information realtime in computer systems
  • Communicate and collaborate with participants and providers to resolve issues
  • Fulfills requests by clarifying desired information; completing call logs by entering required data in real-time.
  • Review/research incoming healthcare claims from participants and medical providers
  • Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, federal mandates, CMS/Medicare guidelines, benefit plan documents/certificates)

SKILLS:
  • Customer Focus, Customer Service, Health Claims Processing, Data Entry Skills, Listening, Phone Skills, Building Relationships, People Skills, Interpersonal Savvy, Problem Solving, Multi-Tasking and Identifies Process Improvements.

REQUIREMENTS:
  • 4 years of claim processing and Healthcare Call Center environment experience
  • Strong knowledge of benefits plans, policies and procedures
  • Experience with HMO's & PPO's
  • Healthcare Background in Claims processes preferred
  • Demonstrated organization and time management skills
  • Proficient with Microsoft products, including Word and Excel
  • Proven verbal and written communication skills
  • High school graduate or equivalent

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work core 8 hour shift schedules within the Participant Service Team, during our normal business hours of 8:30 to 5:00. It may be necessary, given the business need, to work occasional overtime or weekends.
Please apply Today! send your resume to Ida at
or call 805-636-9049
Volt is an Equal Opportunity Employer.

Volt

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Address

Burbank, CA
91505 USA

Industry

Finance and Insurance

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