149 Customer service advocate Jobs in Columbia, SC
Spectraforce Technologies is Hiring a Customer service advocate Near Columbia, SC
Title : Claims Customer Service Advocate II
Location : Columbia, SC, 29229
Duration : 5 months assignment( Contract to hire)
Shift : (Start Time : 7 : 45am or 8 : 00am)
Note : Data Entry Experience Organizational Skills Ability to follow instructions with limited supervision. Flexibility when daily responsibilities change.
Please provide a few sentences describing what a typical day would like in this role : Dedicated to claims entry for member submitted claims.
Duties :
- Responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures.
- Performs research as needed to resolve inquiries. Reviews and adjudicates claims and / or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures.
- Handles situations which may require adaptation of response or extensive research. Identifies incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines.
- 45% Examines and processes claims and / or non-medical appeals according to business / contract regulations, internal standards and examining guidelines.
Enters claims into the claim system after verification of correct coding of procedures and diagnosis codes.
Ensures claims are processing according to established quality and production standards. *10% Identifies complaints and inquiries of a complex level that cannot be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution.
Identifies and reports potential fraud and abuse situations.
Skills :
Required Skills and Abilities : Good verbal and written communication skills. Strong customer service skills. Good spelling, punctuation and grammar skills.
Basic business math proficiency. Ability to handle confidential or sensitive information with discretion. Required Software and Other Tools : Microsoft Office.
Work Environment : Typical office environment.
Education :
Required Education : High School Diploma or equivalent Required Work Experience : 2 years of customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work experience.
Last updated : 2024-07-02
Job Summary
Full Time
$37k-46k (estimate)
06/01/2023
09/18/2024
spectraforce.com
Raleigh, NC
500 - 1,000
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The job skills required for Customer service advocate include Customer Service, Call Center, Written Communication, Computer Systems, etc. Having related job skills and expertise will give you an advantage when applying to be a Customer service advocate. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Customer service advocate. Select any job title you are interested in and start to search job requirements.
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Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Customer Service Advocate job description and responsibilities
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Customer Service Advocate jobs
Many customer service advocates perform customer research to understand what their customers expect from their services.
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They may also ask the client services team for their feedback on the new policies and make adjustments based on those recommendations.
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A good Customer Service Advocate must have excellent communication skills since they will be speaking directly with customers.
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Customer Service Advocate need a mix of technical skills and human skills.
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Step 3: View the best colleges and universities for Customer Service Advocate.
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