Bilingual Claims Customer Service Representative

Are you an experienced Claims Customer Service Representative looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Daily Responsibilities: 

Provide claims information through telephone inquiry from providers of service.

Provide claim information through inquiries receive via facsimile from providers of service.

Recognize potential problems and refers them to the appropriate person to include Claims Management for resolution, and follows up to assure resolution.

Maintains a broad knowledge of all systems used in the adjudication of claims.

Maintains quality standards of claims calls handled.

Maintain a log of calls for use in the reporting and tracking of calls handled.

Liaison to other departments outside of the claims department.

Provides back-up to the Claims Department staff, (claims examiners, data entry & clerical)

Hours for this Position:

Monday-Friday: 8:30-5 (w/ 30 min lunch)

Advantages of this Opportunity:

Competitive salary, $15-$18 per hour (based on relevant experience)

Fun and positive work environment

Requirements:

High school diploma or general education degree (GED)

Minimum 5 years experience in medical claims environment.

Minimum 3 years customer service experience.

Demonstrated knowledge of ICD-9, CPT-4 and HCPCS coding

Fluent in both English and Spanish.