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Company Name : S&S Healthcare
Location : Cincinnati, OH 45240
Position : Remote/Part-Time Customer Service Representative
Job Description : Healthcare Customer Service Representatives – Multiple positions available! Part-Time/100% Remote/Flexible Shifts/Shift differential.
S&S Health is a premier healthcare administration company located in Cincinnati, Ohio. We offer self, level, and fully funded solutions that lower costs while improving outcomes with a consumer-centric experience. Our integrated benefits, services, and technology platform have been developed to serve the needs of Employers, TPAs, and Health Systems. The company has a nationwide presence with the ability to sell and service in every state.
We are looking for highly motivated and client-focused individuals to join our growing team as Customer Service Representatives. Bilingual Spanish-speaking is a plus, but not required.
The Call Center Representative provides expert service to providers, members, and clients who have claims, eligibility, and benefit-related questions by promptly responding to their concerns in a timely manner. In addition, this position resolves payment/adjudication questions at the time the call is received; explaining calculation methodology, contract terms procedures, etc. for the designated call center within S&S Health.
Essential Functions:Help providers and members navigate the complex healthcare ecosystemField member and provider inquiries by phone and emailCustomer service focus with a keen understanding of the importance of average speed of answer, average handle times, abandonment rates, and first call resolutionClearly communicates claims status, payment methodology, contract terms, procedures, etc. to providers, members, and clients.
Minimum Qualifications:2+ years Healthcare Call Center experience is required.1+ years of demonstrated knowledge of health claims, coding, and processing guidelines.Knowledge of plan designs, PPO, indemnity plans, and any healthcare plan documents.Strong interpersonal skills to interact with customers, management, and peers.High level of self-motivation, productivity, and attention to detail; be well-organized; have excellent verbal and written communication skillsFlexibility to work evening hours based upon business needExcellent attendance required
This post is listed Under Ohio jobs
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