Sponsored
Verified Job Work from home

Healthcare Customer Service

Fairfax, Virginia
Work from home
#482421
Remote / WFH

Job Description

ALTA IT is hiring a 6-month contract for a CSR for a major health insurance client. Responsible for answering member, provider & broker inquiries pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment. Proactively provides information and education to members, providers & brokers, as appropriate, about a variety of health, financial, and self-service programs. Provides basic technical assistance and troubleshooting guidance for digital and electronic applications.

Pay: $1+/HR
100% remote
M-F core business hours
Must live within a 30-minute driving distance to Fairfax, VA

Essential Functions:
• Provides first- level problem resolution to member, provider & broker inquiries via telephone by gathering and researching information; examine claim submissions verifying claim and system accuracy as well as liability, validate customer understanding of information and resolves issues based on applicable policies and procedures.
• Delivers accurate information to customers in accordance with performance goals and objectives.
• Maintains customer records by updating account information by effectively utilizing the business areas enrollment/inquiry tracking system & processes.
• Participates in ongoing education related to new services, industry topics, and skills
• Adhere to HIPAA guidelines and other relevant state and federal regulations, and company policies regarding to compliance, integrity, patient privacy and ethical billing practices.

Qualifications
To 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.

Education Level: High School Diploma or GED

Experience: less than one year customer service experience

#M2

Remote

Skills:
Billing, Brokerage, Call Centers, Claims Processing, Corporate Policies, Customer Support/Service, Federal Laws and Regulations, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Healthcare Customer Service, Identify Issues, Medical Billing, Member Orientation, Problem Solving Skills, State Laws and Regulations, Technical Support, Track Customer Issues

About the Company:
ALTA IT Services

ALTA IT Services, LLC combines experience and expertise to deliver IT talent that meets and exceeds the expectations of our clients. Since 2004, we have specialized in delivering IT services and staffing nationwide from our Rockville, MD headquarters and two regional offices located in Columbia, MD and Cincinnati, OH. ALTA provides IT staffing and services to support critical IT initiatives, including Artificial Intelligence, Program & Project Management, Enterprise Platforms, Cybersecurity, Systems Engineering & Administration, Software & Web Services, Data Science & Analytics, DevOps, Quality Assurance, Help Desk, Network Management & Support, and Training. Our team of recruiting professionals can recruit any skill necessary to support both commercial and government client needs throughout the United States.

The foundation of our business operations is that we build relationships to last. We do this by placing the highest priority on our core values of integrity, reliability, and quality. We take the responsibilities entrusted to us by our clients and IT professionals very seriously.

As a result, we are proud to say that the majority of our clients have been with us for more than a decade. We work hard every day to earn and keep their trust. That is the promise that we make to all of our clients.

Company Size:
100 to 4++ employees

Industry:
Staffing/Employment Agencies

Founded:
2004

Website:
https://www.altaits.com/
View more Healthcare Jobs in Fairfax →
Sponsored

Similar Openings in Work from home

More jobs you might like

Consultant, Operations nabina2 Verified
Jaipur, Rajasthan Work from home

What role you will play in team: You will be part of a team that analyzes business processes and identifies areas for improvement. What you ...

Posted 1h ago View Details
Remote / WFH Work from home

Job description Are you looking for a new opportunity to develop a career in the world of Insurance? We have an opening for a Customer Repre...

Posted 1h ago View Details
Work From Home Service Advisor HR Manager Verified
Remote / WFH Work from home

Salary Range : Rs. 15000 - Rs. +0000 , based on skills, experience, and interview performance Educational Requirement : 12th Pass Work Arran...

Posted 1h ago View Details
Senior Full Stack Engineer HR Manager Verified
Remote / WFH Work from home

Job description Sprinto is a top platform that automates information security compliance, empowering 1000+ customers across 75+ countries. B...

Posted 1h ago View Details