What are the responsibilities and job description for the Healthcare Customer Service Rep - Remote (North Carolina) position at Imagenet?
Join Imagenet and experience a fulfilling career in healthcare. Apply today!
About the Role :
Join our team as a Healthcare Customer Service Rep II, where you will play a crucial role in taking member services calls in relation to policy management, benefits and claim inquiries. You will be a valued member of the team, providing exceptional customer service to our clients and members by ensuring their satisfaction on calls. As a key contributor, you will be responsible for accurately and efficiently reading and relaying information to members.
This position requires a solid understanding of the health care claims, benefits and policy process flows and expertise in healthcare terminology, including ICD-9 and ICD-10 coding.
Job Type : Full-time - 100% Remote Position
Schedule : Monday -Friday 9 : 00am to 9 : 00pm EST (shifting schedule)
You will be responsible for :
Policy Management
- Billing : Process member payments, address billing inquiries, and resolve billing discrepancies.
- Member Information Updates : Update member information accurately and promptly, including addresses, phone numbers, beneficiaries, and employment details.
- Policy Terminations and Reinstatements : Handle policy termination requests, process policy terminations effectively, and assist with policy reinstatements.
- ID Card Ordering : Process ID card orders efficiently, ensure timely delivery, and address any ID card-related concerns.
Benefits
Claims
General Inquiry
Additional Responsibilities
Preferred Experience :
Requirements :
What We Offer :
COMPANY OVERVIEW :
Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.
The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.
Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.
Imagenet LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
