What are the responsibilities and job description for the Customer Service- Medical Claims position at The Jacobson Group?
Customer Service Specialist – Medical Billing & Claims
Job Summary:
We are seeking a dedicated and detail-oriented Customer Service Specialist to join our clients team. Reporting to the Claims Manager, you will play a critical role in handling members' claims with accuracy, efficiency, and compassion. While prior experience in medical claims is not required, we value candidates with strong customer service skills and a willingness to learn.
Our client is a leader in providing emergency medical transport services and support, ensuring that members receive timely and quality care when they need it most.
Job Details:
- Hourly Rate: $20 per hour
- Start Date: ASAP
- Work Schedule: Monday–Friday, 9:00 AM – 5:00 PM EST
- Location: Fully onsite in Sunrise, Florida
- Employment Type: Long-term contract with potential for permanent conversion based on performance, budget, and business needs
Key Responsibilities:
Claims Review:
- Set up new claims, create claim forms, and scan claims for processing.
- Interact with providers to obtain necessary documentation for accurate claim adjudication.
- Evaluate coverage for submitted claims and verify coverage via internal systems.
- Attach supporting documents to claims and send out communication regarding claim adjudication processes to members.
Customer Service Excellence:
- Provide exceptional support to members, providers, and internal departments through phone, email, and chat channels.
- Demonstrate strong attention to detail, empathy, and active listening skills.
Product Knowledge:
- Develop expertise in product offerings, including benefit coverage, to effectively assist members.
Required Skills & Qualifications:
- 2 years of experience in a customer service role, preferably in a healthcare or insurance-related setting.
- Knowledge of medical codes, billing practices, policies, and procedures is a plus.
- Familiarity with Explanation of Benefits (EOB) forms.
- High school diploma required; some college coursework or higher education is preferred.
- Strong computer skills, including proficiency in Microsoft Office Suite (Excel, Word, Outlook).
- Excellent organizational and time management skills to meet service standards and benchmarks.
- Ability to work proactively in a fast-paced environment.
If you are passionate about providing outstanding customer service and eager to develop expertise in medical billing and claims, we encourage you to apply today!
Benefits:
Our comprehensive benefits package includes:
· Medical insurance
· Dental insurance
· Vision insurance
· 401(k) retirement savings plan
Equal Opportunity Employer:
The Jacobson Group is committed to fostering an inclusive and equitable workplace that reflects the diverse communities we serve. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status or any other protected characteristic as defined by applicable law. We believe that diversity of thought, background and experience strengthens our team and drives innovation. All employment decisions are based on qualifications, merit and business needs.
Salary : $20
