North Dakota 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 manage policy terminations and reinstatements
• Provide accurate information on coverage plans, assist with prior authorizations, and conduct provider contact research
• Update members on claims status, answer claims inquiries, and assist with reconsideration requests

Required Qualifications

• High School Diploma or GED required
• Minimum of 2 years' 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 medical terminology, eligibility verification, and claims processing
• Must successfully pass a criminal background check