• Answering incoming phone calls from health care providers such as physician offices, clinics, hospitals etc.
• Identifying the type of assistance the provider needs then providing the benefit and eligibility, billing and payments, authorizations for treatment, and explanation of benefits for the members.
• Focusing on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue, and providing an appropriate response to the caller.
• Completing the documentation necessary to track provider issues and facilitate the reporting of overall trends
Experience: 1 - 2 years
• Focusing on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and providing an appropriate response to the caller. • Completing the documentation necessary to track provider issues and facilitate the reporting of overall trends.
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