Conifer Health Solutions: Customer Service Representative Ii
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide.
We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare.
Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare.
Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!Job SummaryResponsible for answering incoming calls from providers, health plan and members as they relate to eligibility, benefits, claims, coverage and authorization of services.
This position supports multiple lines of business and will also problem-solve and explain programs and procedures to callers and will answer/address claim payment questions with providers.
Essential Duties And ResponsibilitiesInclude the following.
Others may be assigned.
Answering incoming phone calls via ACD phone systemEntering of telephonic referrals Provide eligibility, benefits, claim and referral status depending on the queue on which they serveRetrieve Voice MailsAssist in resolving issues for providers as they relate to claims, authorization and eligibility inquiriesServes as resource to CSRI Special projects as assignedAble and willing to step in, in the absence of the lead and or supervisor to lead the team.
QualificationsConifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment activity.
This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
Knowledge, Skills, AbilitiesTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
A strong sense of responsibility for providing a great customer experienceDetail-oriented and highly-organizedLeadership skills Excellent verbal and written communication skills.
Excellent organization skills with ability to handle multiple tasks and prioritize work.
Knowledge of CPT, ICD-10, HCPCS codes, HCFA1500 and UB04 billing forms.
Education / ExperienceInclude minimum education, technical training, and/or experience preferred to perform the job.
2-3 years of customer service experience in a call center and or health care environment preferredHigh school degree or equivalent required, Bachelor degree preferredPHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to work in sitting position, use computer and answer telephoneWORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Office Work EnvironmentJob:
Conifer Health SolutionsPrimary Location:
Annapolis, MarylandJob Type:
Full-timeShift Type:
Days.
Estimated Salary: $20 to $28 per hour based on qualifications.
We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare.
Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare.
Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!Job SummaryResponsible for answering incoming calls from providers, health plan and members as they relate to eligibility, benefits, claims, coverage and authorization of services.
This position supports multiple lines of business and will also problem-solve and explain programs and procedures to callers and will answer/address claim payment questions with providers.
Essential Duties And ResponsibilitiesInclude the following.
Others may be assigned.
Answering incoming phone calls via ACD phone systemEntering of telephonic referrals Provide eligibility, benefits, claim and referral status depending on the queue on which they serveRetrieve Voice MailsAssist in resolving issues for providers as they relate to claims, authorization and eligibility inquiriesServes as resource to CSRI Special projects as assignedAble and willing to step in, in the absence of the lead and or supervisor to lead the team.
QualificationsConifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment activity.
This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
Knowledge, Skills, AbilitiesTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
A strong sense of responsibility for providing a great customer experienceDetail-oriented and highly-organizedLeadership skills Excellent verbal and written communication skills.
Excellent organization skills with ability to handle multiple tasks and prioritize work.
Knowledge of CPT, ICD-10, HCPCS codes, HCFA1500 and UB04 billing forms.
Education / ExperienceInclude minimum education, technical training, and/or experience preferred to perform the job.
2-3 years of customer service experience in a call center and or health care environment preferredHigh school degree or equivalent required, Bachelor degree preferredPHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to work in sitting position, use computer and answer telephoneWORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Office Work EnvironmentJob:
Conifer Health SolutionsPrimary Location:
Annapolis, MarylandJob Type:
Full-timeShift Type:
Days.
Estimated Salary: $20 to $28 per hour based on qualifications.
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