Louisiana Healthcare Customer Service Rep

Job Summary

A company is looking for a Healthcare Customer Service Rep II to provide member services related to policy management, benefits, and claims inquiries.

Key Responsibilities

• Process member payments, update member information, and handle policy terminations and reinstatements
• Provide accurate information on coverage plans and assist with prior authorizations and referrals
• Offer claims status updates and assist members with claims inquiries and reconsideration requests

Required Qualifications

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