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Title

Healthcare Customer Service Advocate Medical Claims Processing 

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.  
Description

As a Customer Service Associate, you will help and work with customers and members to improve their health, well-being and sense of security. The primary role of Customer Service Advocate is respond to complex inquiries regarding benefits, billing, eligibility, coverage and other related information and provide solutions for customers, clients and health care professional via phone and email.  Creative problem solving, critical thinking and empathy skills are essential.  Professional interaction, active and passive listening skills and the ability to utilize computer- based resources in a highly effective manner to educate and provide accurate responses to customer inquiries is crucial for success in the role, along with the innate ability to be compassionate and empathetic when appropriate when handling complex customer inquiries.

 

 

ORGANIZATIONAL PLACEMENT:

 

Typically Reports To:  Team Leader

Typical Reports:  None

 

 

Principal Duties and Responsibilities:

  • Process claims as per the guidelines.
  • Keep abreast with the process of claims processing in the healthcare industry.
  • Have a good understanding of the performance SLA’s and meet the SLA’s.
  • Understand all binding laws and regulations related to the project.
  • Ensure all parameters such as Production, TAT and Quality are met.
  • Utilize and be familiar with the current system functions, applications and enhancements.
  • Ensure strict adherence to the process workflow and regular attendance is maintained and apt behavior is observed.

The above statements are intended to indicate the general nature and level of work being performed by employees within this classification.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of employees assigned to this job.  Employees in this job may perform other duties as assigned.  In addition to the above, all HGS employees are expected to:

* Promote teamwork and cooperative effort.  * Help train and give guidance to other HGS employees.  * Maintain a clean, safe, and unobstructed work area, and practice good safety habits.  * Provide internal and external customers with the highest quality service.

Minimum Job Requirements: (Education, Experience, Skills)

  • High School Diploma or equivalent required, Associates or Bachelor’s degree preferred
  • 1-2 years healthcare industry knowledge preferred
  • Excellent communication skills, both written and verbal
  • Adaptability and quick learning skills
  • Ability to work with a diverse population
  • Ability to operate a keyboard and basic computer navigational skills
  • Typing speed – Min 15-20 wpm preferred
  • Knowledge of basic computer applications.
  • Have a positive attitude and be a good team player.
 
Position Requirements

Minimum Job Requirements: (Education, Experience, Skills)

  • High School Diploma or equivalent required, Associates or Bachelor’s degree preferred
  • 1-2 years healthcare industry knowledge preferred
  • Excellent communication skills, both written and verbal
  • Adaptability and quick learning skills
  • Ability to work with a diverse population
  • Ability to operate a keyboard and basic computer navigational skills
  • Typing speed – Min 15-20 wpm preferred
  • Knowledge of basic computer applications.
  • Have a positive attitude and be a good team player.
 
Exempt/Non-Exempt Non-Exempt  
Location HGS USA Gran Vista  
About the Organization About Hinduja Global Solutions (HGS):
A global leader in business process management (BPM) and optimizing the customer experience lifecycle, HGS is helping to make its clients more competitive every day. HGS combines technology-powered services in automation, analytics and digital with domain expertise focusing on back office processing, contact centers and HRO solutions to deliver transformational impact to clients. Part of the multi-billion dollar conglomerate Hinduja Group, HGS takes a 'globally local' approach, with over 42,371 employees across 72 delivery centers (as on 30th June 2019) in seven countries making a difference to some of the world's leading brands across nine key verticals. For the year ended March 2019, HGS had revenue of $689 million.
 

This position is currently not accepting applications.

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