Job Description

Medical Customer Service Representative
Portsmouth, NH
16/hr

Duties & Responsibilities:

  • Process Professional and Hospital claims accurately and timely within claiming system
  • Process claims according to set guidelines for payment or denial
  • Price claims according to Medicare, Medicaid and custom fee schedules
  • Meet personal and team goals and metrics
  • Manually enter data from CMS1500 and UB04 claims into claiming system as necessary
  • Use available resources to manage workload
  • Actively participate in staff meetings
  • Communicate with supervisor on workload/issues/backlog
  • Follow procedures, guidelines and policies
  • Provide customer support for a 1-800 line inquiries as needed
  • Assist with other duties as assigned

Requirements:

  • Proficient in Microsoft applications; particularly Word, Outlook and Excel
  • Ability to understand and use all systems required to perform duties, using dual screens
  • Ability to take initiative, prioritize tasks and manage workflow to meet deadlines
  • Ability to interpret, comprehend and follow policies and plan provisions
  • Excellent interpersonal skills
  • Excellent oral and written communication skills
  • Problem solving and analytical skills
  • Demonstrated typing skills and accuracy rate
  • Ability to work autonomously and within a team
  • Experience working in claims or healthcare environment as well as customer Service Call Center or Customer Facing positions
  • Basic understanding of medical coding guidelines and medical terminology preferred
  • Basic understanding of healthcare and claims concepts preferred

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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