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Medical Customer Service Representative

Medical Customer Service Representative Job in Flint, MI
Ajilon is seeking a Medical Customer Service Representatives for a temp-to-hire role in Flint, MI area. The Medical Customer Service Representative is responsible for daily member telephone calls which will include directing members to the proper services needed, educating members, and problem solving. Also responsible for assisting providers with eligibility, benefit, and resolution of claims issues.
Responsibilities
Assist members and providers with questions and concerns
Ongoing member education
Responsible for all benefits information given to members and providers
Verify new and/ or additional insurance coverage when requesting a claim to be re/submitted to payer
Experience
High School Diploma or GED equivalent required
Minimum of 2 years in a high-volume call center
In-depth understanding of claims administration as it pertains to provider payments, including CPT-4 codes, revenue codes, HCPCS codes and DRGs
2 years experience and knowledge of HMO, PPO, TPA, PHO and Managed Care
Strong attention to detail, energetic, and excels in a fast-paced environment
If you are looking for a new opportunity in healthcare, please apply below to this job opportunity or email the recruiter directly at Katie. Garcia@ajilon. com.



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