Alabama Licensed 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 coverage information and assist members with prior authorization and referral processes
• Handle claims status updates, inquiries, and assist with reconsideration requests for denied claims

Required Qualifications

• High School Diploma or GED required
• At least two years of experience in claims examination, health insurance, customer service, or a related field
• Solid understanding of healthcare terminology, including ICD-9 and ICD-10 coding
• Must be able to clear a criminal background check
• Strong computer experience and ability to work independently