BHJOB22463_619_Healthcare Customer Service Representative
- Contractor
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
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!
VP Total Solutions is dedicated to providing job seekers assistance in achieving their career goals.
VP Total Solutions is dedicated to providing job seekers assistance in achieving their career goals. At VPTS, we specialize in contract to hire, long-term contract and direct placement. We provide a unique approach to matching your career goals with our clients hiring needs, resulting in positive long-lasting business partnerships. We offer employment opportunities encompassing multiple industries including but not limited to: Healthcare, IT, Automotive, Engineering, Manufacturing, General Labor and Call Center. With a strong team of experienced recruiting personnel, we have proven success in matching highly qualified candidates with leading employers. VP Total Solutions offers Health Benefits w/Vision Insurance, Life and Disability insurance and paid holidays after 90 days of employment.
Address
VP Total Solutions
Flint, MIWebsite
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