Customer Service Representative

Job Specifications:

<-- (if supportLists)--> Graduate of Bachelor's Degree.

<-- (if supportLists)-->2.   Minimum of 2 years experience in receiving, documenting, researching and responding to member inquiries, complaints, appeals and/or grievances. Gathers and  presents all relevant data of cases for medical review and makes recommendations for resolution and/or determination of next step. Also responsible for coordinating  problem resolution for members, providers, and employer groups amongst various internal departments and external resources/contacts.  Knowledge of medical terminology ICD-9; CPT; HCPCS; Revenue Codes and ADA Codes. Call Center experiences a plus.

<-- (if supportLists)--> <--(endif)-->Able to work any shifts including graveyard.

<-- (if supportLists)--> <--(endif)-->Use 10-key by touch. 

<-- (if supportLists)--> <--(endif)-->Effective team player.

<-- (if supportLists)--> <--(endif)-->Excellent interpersonal skills.