North Carolina Healthcare Customer Service Rep

Job Summary

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

Key Responsibilities

• Process member payments, address billing inquiries, and manage policy terminations and reinstatements
• Provide accurate information regarding coverage plans and assist with prior authorizations and referrals
• Update members on claims status, handle 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 medical office
• Proven experience in customer service related to claims processing or billing
• Solid understanding of healthcare terminology, including ICD-9 and ICD-10 coding
• Ability to work independently and collaboratively in a remote environment