Missouri Healthcare Customer Service Rep

Job Summary

A company is looking for a Member Services Customer Service Representative.

Key Responsibilities

• Process member payments, address billing inquiries, and resolve discrepancies
• Provide accurate information about coverage plans and assist with prior authorization and referrals
• Update member information and handle policy terminations and reinstatements

Required Qualifications

• High School Diploma or GED required
• Minimum of 2 years experience in claims examination, health insurance, customer service, or medical office
• Proven experience in customer service related to claims processing or billing
• Comprehensive knowledge of medical terminology and ICD-9 and ICD-10 coding
• Must successfully pass a criminal background check