Iowa Licensed Healthcare Customer Service Rep

Job Summary

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

Key Responsibilities

• Process member payments, update member information, and handle policy terminations and reinstatements
• Provide accurate coverage information and assist with prior authorization and referral processes
• Respond to claims inquiries and provide status updates on claims processing

Required Qualifications

• High School Diploma or GED required
• At least two years of experience in claims examination, health insurance, customer service, or a related field
• In-depth knowledge of healthcare terminologies, eligibility, benefits, medical claims, and ICD-9 and ICD-10 coding
• Must clear a criminal background check
• Strong computer experience and ability to work independently and as part of a team