Tennessee 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 information on coverage plans, assist with prior authorizations, and update claims statuses
• Maintain confidentiality, escalate complex issues, and contribute to team success through collaboration

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
• Ability to clear a criminal background check
• Strong computer skills and ability to work independently and as part of a team