New Mexico Healthcare Customer Service Rep

Job Summary

A company is looking for a Healthcare Customer Service Rep II.

Key Responsibilities

• Process member payments, update member information, and handle policy terminations and reinstatements
• Provide accurate coverage information, assist with prior authorizations and referrals, and conduct provider contact research
• Offer claims status updates, address claims inquiries, and assist with reconsideration requests

Required Qualifications

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