Customer Service Associate - Healthcare Claims

Job Summary

A company is looking for a Customer Service Associate.

Key Responsibilities:

• Receive and respond to inbound and outbound phone calls
• Document all calls in ticketing and tracking systems
• Act as a liaison between claims department and providers

Required Qualifications:

• Bachelor's degree preferred with three plus years of relevant professional experience in Healthcare claims operations
• Previous Health Care Call Center/Customer Service Experience
• Knowledge of physician practice and hospital coding, billing and medical terminology
• Experience with UB/Institutional (UB04); Professional (CMS1500) claims and HIPAA-compliant EDI formats
• Understand CMS guidelines for claims processing