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Customer Service Representative

Houston, TX 77077

Posted: 09/11/2019 Industry: Positions Job Number: 99486 Pay Rate: $15.00/hour
SW Medical Consultant company looking for Insurance Customer Service Representatives to join their growing team!

Temp to Hire
$15-16/hr

Job Description:
The Customer Service Representative is responsible for handling patient s questions, complaints, problems and
concerns and explains billing process in detail to patients. Also responsible for documenting all customer interactions
in the appropriate computer system. Relies on extensive experience and judgment to plan and accomplish goals.
Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.E.
benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits [EOB s].
Ask appropriate questions and listen actively to identify specific questions or issues while documenting
required information in computer systems.
Own problems through to resolution on behalf of the customer/patients in real time through comprehensive
and timely follow-up with the member on the specified date given to patients.
Review and research incoming healthcare claims for patient s (clinics, etc.) by navigating multiple computer
systems and platforms and verifies the data/information necessary for answering any and all questions
regarding their claim.
Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures
benefit plan.
Communicate and collaborate with patient to resolve issues, using clear, simple language to ensure complete
understanding of their bill/statement.
Review and sign all written instruction for any and all duties, duties will be subject to change and ample notice
will be given.
Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, member
satisfaction and attendance.

Qualifications:
Minimum Education: High School Diploma/G.E.D.
Minimum 3+ years of Medical Customer Service experience.
Medical Call Center environment.
Strong communications skills in both oral and written.
Positive attitude, Team player, Go-getter .
Ability to type 40 WPM.
Ability to navigate a computer while on the telephone.
Strong analytical and problem solving skills.
Familiarity with computer and Windows PC applications, which includes the ability to learn new computer
systems and applications.
Experience in reading EOB s preferred.
Knowledge of CMR, E-Power and Centricity desired.

PLEASE SEND RESUME TO SHENA.BILNOSKI@LKJORDAN.COM

HIRING NOW!

**WILL PERFORM BACKGROUND AND DRUG SCREEN ON SITE**

L.K. JORDAN AND ASSOCIATES IS AN EQUAL OPPORTUNITY EMPLOYER
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