Nevada Licensed Healthcare Customer Service Rep

Job Summary

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

Key Responsibilities

• Process member payments, address billing inquiries, and resolve billing discrepancies
• Provide accurate information about coverage plans and assist with prior authorization and referral processes
• Answer claims inquiries, provide status updates, and assist with reconsideration requests for denied claims

Required Qualifications

• High School Diploma or GED required
• Minimum of 2 years of experience in claims examination, health insurance, customer service, or medical office
• Proven experience in customer service related to claims processing or billing
• Comprehensive knowledge of healthcare terminology, including ICD-9 and ICD-10 coding
• Must successfully pass a criminal background check