Medical Claims Customer ServicePermanent
Pennsylvania, Pittsburgh - 15201Job Simplification
The announced job offer is made public by the firm: Wexford Health and it was included in jobs list the date of: 2022-10-22 in the website greenenergyjobsonline.com.
It is announced that they have a job offer at the category of Array and the jobs location is in the state of Pennsylvania at the city Pittsburgh, in the country US - at this current ZipCode: 15201
The information residing in this page is not directly announced by our websites, we help users in the intent of finding the jobs they want and redirect them back to jobs8 for apropriate applying to any of the jobs listed on www.greenenergyjobsonline.com.
Job Overview
POSITION TITLE: ClaimsCustomer Service Representative
SCHEDULE: Monday-Friday 8:00AM-4:30PM
LOCATION: Wexford Health Sources Inc. Corporate office located at Foster Plaza in Green Tree- (Pittsburgh, PA)
This is an onsite position
REQUIREMENTS:
Experience processing claims - medical field preferred
Customer service experience
POSITION SUMMARY
Provides customer service support and processes medicalclaims in a manner that ensures effective and efficient department operations.
POSITION ADVANTAGES:
Experience working in unique field of healthcare
Free, convenient parking lot
Enjoy regular well-attended employee-engagement activities with other members of corporate office
Annual performance reviews with raise
DUTIES AND RESPONSIBILITIES
Answers incoming customer service calls from providers and facilitates the handling of requests for information and assistance.
Efficiently and effectively responds to incoming claims calls and inquiries; routes calls to other staff members as appropriate.
Process paper claims including complex HCFA 1500, UB04 and any successor forms.
Examine and research information including authorizations, payments, denials, and resolve outstanding issues to meet client and provider expectations.
Resolve simple issues and, through established work processes, forward complex issues as appropriate to other members of the claims and provider contracting departments.
Identify and communicate opportunities for process improvement to management and co-workers.
Educates providers on Wexford Health and appropriate contacts within the company for claims inquiries, utilization management, contract status, and other questions that may arise.
Maintains logs and keys information into database(s) as necessary for data collection and tracking purposes.
BENEFITS:
Annual review with performance increase
Generous paid-time off program that combines vacation and sick leave
Paid holidays
Comprehensive health insurance through Blue Cross Blue Shield
Dental and Vision insurance
401(k) retirement saving plans
Company-paid short-term disability
Healthcare and dependent care spending account
Minimum Qualifications:
High school diploma or equivalent.
2+ years customer service and medical claims processing experience.
Required Skills:
Service orientation: ability and willingness to calmly and effectively assist customers and represent Wexford Health in a professional manner at all times.
Previous health care related customer service experience with health care products and/or medical terminology.
Ability to follow general directions and make adjustments to fit specific situations as needed.
Initiative: takes appropriate action in the pursuit of individual, group, and organizational objectives, before being asked by others or forced by circumstances.
Must be a team player.
Strong attention to detail.
Approaches changes in a positive manner.
Excellent oral and written communication skills; excellent interpersonal skills
Proficiency in Microsoft Word, Power Point, Excel and Microsoft Access database entry
Experience with Office Equipment (fax, copier, computers, postage machine, folder)
SCHEDULE: Monday-Friday 8:00AM-4:30PM
LOCATION: Wexford Health Sources Inc. Corporate office located at Foster Plaza in Green Tree- (Pittsburgh, PA)
This is an onsite position
REQUIREMENTS:
Experience processing claims - medical field preferred
Customer service experience
POSITION SUMMARY
Provides customer service support and processes medicalclaims in a manner that ensures effective and efficient department operations.
POSITION ADVANTAGES:
Experience working in unique field of healthcare
Free, convenient parking lot
Enjoy regular well-attended employee-engagement activities with other members of corporate office
Annual performance reviews with raise
DUTIES AND RESPONSIBILITIES
Answers incoming customer service calls from providers and facilitates the handling of requests for information and assistance.
Efficiently and effectively responds to incoming claims calls and inquiries; routes calls to other staff members as appropriate.
Process paper claims including complex HCFA 1500, UB04 and any successor forms.
Examine and research information including authorizations, payments, denials, and resolve outstanding issues to meet client and provider expectations.
Resolve simple issues and, through established work processes, forward complex issues as appropriate to other members of the claims and provider contracting departments.
Identify and communicate opportunities for process improvement to management and co-workers.
Educates providers on Wexford Health and appropriate contacts within the company for claims inquiries, utilization management, contract status, and other questions that may arise.
Maintains logs and keys information into database(s) as necessary for data collection and tracking purposes.
BENEFITS:
Annual review with performance increase
Generous paid-time off program that combines vacation and sick leave
Paid holidays
Comprehensive health insurance through Blue Cross Blue Shield
Dental and Vision insurance
401(k) retirement saving plans
Company-paid short-term disability
Healthcare and dependent care spending account
Minimum Qualifications:
High school diploma or equivalent.
2+ years customer service and medical claims processing experience.
Required Skills:
Service orientation: ability and willingness to calmly and effectively assist customers and represent Wexford Health in a professional manner at all times.
Previous health care related customer service experience with health care products and/or medical terminology.
Ability to follow general directions and make adjustments to fit specific situations as needed.
Initiative: takes appropriate action in the pursuit of individual, group, and organizational objectives, before being asked by others or forced by circumstances.
Must be a team player.
Strong attention to detail.
Approaches changes in a positive manner.
Excellent oral and written communication skills; excellent interpersonal skills
Proficiency in Microsoft Word, Power Point, Excel and Microsoft Access database entry
Experience with Office Equipment (fax, copier, computers, postage machine, folder)
Employer Overview
Wexford Health
Pennsylvania, Pittsburgh - 15201- Agency