Tennessee Licensed Healthcare Customer Service Rep

Job Summary

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

Key Responsibilities

• Manage policy-related inquiries, including billing, member information updates, terminations, and ID card orders
• Provide information on benefits, assist with prior authorizations, and conduct provider contact research
• Handle claims inquiries, status updates, 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 related fields
• Solid understanding of healthcare terminology, including ICD-9 and ICD-10 coding
• Strong computer experience, including data entry and navigation
• Ability to clear a criminal background check