Georgia Licensed Healthcare Customer Service Rep

Job Summary

A company is looking for a Healthcare Customer Service Rep II.

Key Responsibilities

• Manage policy-related tasks including billing, member information updates, terminations, and ID card orders
• Provide accurate information on benefits, assist with prior authorizations, and conduct provider contact research
• Handle claims inquiries, status updates, and assist with claims reconsideration requests

Required Qualifications

• High School Diploma or GED required
• At least two years of experience in claims examination, health insurance, or customer service
• Solid understanding of healthcare terminology, including ICD-9 and ICD-10 coding
• Must be able to clear a criminal background check
• Strong computer skills and ability to work independently