What are the responsibilities and job description for the Healthcare Customer Service Representative position at TEEMA Group?
Location: This remote position is open to candidates located in Alaska.
Role Summary
Handles inbound phone calls from Providers, VA, and other customers. Reviews claims and responds to billing questions. Provides updates on claim status, including notification that claims are in process, pending for more information, and denied. Works in a detailed, fast-paced, and repetitive production environment. Interacts with customers in a professional, formal manner where the focus is on completing the task pleasantly and with high quality and accuracy.
Key Responsibilities
Utilizes various software applications in use at the Company o Understands procedures and processes of the VA program o Answers inbound calls from providers in a timely manner
Answers questions related to the status of providers’ claims
Conducts basic claims history research to answer provider questions
Documents all communications involving provider contacts
Escalates complex claims issues for further review
Consistently displays professional customer service skills to internal and external customers
Protects the privacy of health information of patients when using or disclosing Protected Health Information (PHI). PHI is any information about health status, or healthcare services that is linked to an individual
Takes appropriate measures to comply with HIPAA regulations to protect the privacy of beneficiaries' health information o Consistently meets department productivity and performance metrics
Performs other duties as assigned Regular and reliable attendance is required
Required
High School diploma or G.E.D.
Minimum of 2 years’ healthcare claims or medical billing
Good communication skills
Call center or customer service experience
Proficient with Outlook, Microsoft Excel, the Internet and on-line systems
1 year call center or customer service experience
Knowledge of medical claims processing/review
Medical terminology knowledge
Additional Information
Temp to hire
Contract lengh 9 mths
Computer equipment provided for remote work.
Comprehensive training program (5 weeks).
Flexible shifts between 7:00 AM and 6:00 PM (AK time).
Remote but most live in Alaska
