Customer Service Representative Donelson, TN Administrative Support


CLAIMS SPECIALIST
CONTRACT: 1ST SHIFT
LOCATION: DONELSON TN
WAGE:$18/HIOUR
 
Position Description Coordination of Benefits Analysts are responsible for using established methods to investigate, verify, and record third party liability (TPL) coverage information on behalf of our Medicaid payer clients. COB analysts research TPL coverage leads through various methods including phone calls, correspondence, and online portals. COB Analysts maintain accurate TPL coverage to trigger appropriate cost-avoidance and recovery activities. COB analysts also respond to client research requests and may be assigned other tasks as requested by management. COB analysts operate in a fast-paced, production environment and take ownership of their work product by understanding the value of timely, accurate TPL lead investigation.
Responsibilities:
 

Ability to adapt to the significant and frequent changes of the healthcare market
Ability to work within a team environment with a positive attitude
Detail oriented with strong investigative skills
Ability to think critically and analytically regarding trends and patterns in data
Proficiency with time and workload management with the ability to multi-task
Able to efficiently make a medium volume of outbound calls to various insurance carriers
Very strong verbal and written communication skills
Proficiency Microsoft Windows and Office products (esp. Word and Excel)
Overtime may be needed based on operational need

 
Minimum Requirements (Required):
 

1-3 years of relevant healthcare experience or equivalent work experience
Background in government and/or commercial insurance healthcare coverage is a plus
Excellent Communication (Verbal & Written) Skills
Strong work ethics and confidentiality

 
Industry Skills (Preferred):
 

2+ years of experience working with state and federal programs (Social Security & Medicaid)
Medical Terminology & documentation experience is a plus
Minimum of 1 year of demonstrated experience working with people of various educational and socioeconomics background (Government agency, Behavioral Health Facility,)
Proficient computer skills with tablet devices and Microsoft Office applications (Outlook, Intermediate Excel and PowerPoint)

 
Education

Bachelor’s degree or work experience with health insurance eligibility verification

Please email resume to nikki@careerpros.com
Sedona Staffing Services is an Equal Opportunity Employer
 
 
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