Houston, Texas
$19.69/hour
Office & Professional
Job ID: 63142212
Job Description
- $19.69/hour
- Full-time Monday through Friday, 8:00am to 5:00pm
- Excellent benefits package, including medical, dental, and vision
- Located in Houston, Texas
- Handle inbound calls regarding benefits, eligibility, claims, and authorizations
- Resolve customer questions and provide accurate solutions when possible
- Review claims issues and submit reconsideration requests when appropriate
- Provide first-call resolution whenever possible
- Accurately document calls and transactions in CRM and claim systems
- Maintain knowledge of claim systems, benefits, eligibility, and authorizations
- Track recurring issues and report trends to management
- Complete customer follow-up as needed for timely resolution
- Protect confidential information and follow HIPAA requirements
- Follow all departmental and organizational policies and procedures
- Maintain professional and effective communication with customers and coworkers
- Perform other duties as assigned
- High School Diploma or GED equivalent
- 2+ years of relevant experience, including 1 year in healthcare, health plans, or a related field
- Experience with claims, authorizations, benefits, and eligibility
- Experience supporting multiple lines of business
- Proficiency with Microsoft Word, Excel, and Outlook
- Moderate to advanced computer skills
- Ability to work independently with minimal direction
- Strong analytical and attention-to-detail skills
- Excellent verbal and written communication skills
- Strong interpersonal and customer service skills
- Ability to maintain professionalism, confidentiality, and self-control
- Ability to manage multiple tasks in a fast-paced environment
- Ability to sit for extended periods and perform computer-based work
- Ability to occasionally lift and carry up to 20 pounds
- Frequent walking and standing may be required
Job ID: 63142212
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