[Hiring] Claims Customer Service Representative @TEKsystems

Role Description

We're seeking experienced Remote Customer Service Representatives to support members with supplemental health insurance claims including Accident, Critical Illness, Hospital Indemnity, Medical, Dental, Vision, and Prescription benefits.

• Handle 40-50 inbound customer service calls daily
• Assist members with claim status, benefits, eligibility, and claim inquiries
• Review and interpret medical claim information
• Accurately enter and process new claims
• Register approximately 20 claims per day
• Document customer interactions with exceptional attention to detail
• Process incoming claim documentation and correspondence
• Provide compassionate, professional service while meeting quality and productivity goals

Qualifications

• Supplemental Health Claims experience
• Accident, Critical Illness, or Hospital Indemnity claims experience
• Understanding of HCFA 1500 and UB-04 claim forms
• CPT, HCPCS, Revenue Codes, and ICD-10 knowledge
• Experience reviewing medical claims, EOBs, medical records, provider bills, and facility claims
• 1+ year call center experience (remote call center preferred)
• Ability to accurately interpret healthcare documentation and insurance benefits

Requirements

• Health Insurance Claims Representative
• Medical Claims Examiner
• Claims Processor
• Benefits Specialist
• Healthcare Customer Service Representative
• Medical Billing Specialist
• Claims Intake Representative
• Claims Coordinator
• Insurance Verification Specialist

Benefits

• Medical, dental & vision
• Critical Illness, Accident, and Hospital benefits
• 401(k) Retirement Plan (Pre-tax and Roth post-tax contributions available)
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)