South Dakota Licensed Healthcare Customer Service Rep

Job Summary

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

Key Responsibilities

• Manage policy inquiries, including billing, member information updates, terminations, and ID card processing
• Provide accurate information regarding benefits, assist with prior authorizations, and conduct provider contact research
• Address claims inquiries, provide status updates, 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 settings
• 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 team environment