Managed Care Customer Service Representative
Core
Providing customers, retail personnel, and insurance companies detailed information regarding invoices and explanations of balance due.
Role type
Managed Care Customer Service Representative
Builds
Customer service interactions and insurance claim resolution
Domain
Healthcare / Optical Retail
Deliverable
client delivery
Required skills
Phone communication, multi-system navigation, concept grasping, checklist adherence
Preferred skills
Point of Sale system experience, ticketing system experience
Technologies
Point of Sale system, ticketing system
Responsibilities
Answering calls from customers regarding collection of past accounts, conducting conference calls with customers and insurance companies to determine responsible parties, providing detailed notes in Point of System, answering calls from retail personnel to assist with plan selection, writing off balance per store requests, answering calls from third-party payers to review line items, completing high-balance investigations, making outbound calls to insurance companies about unpaid claims, solving issues with insurance checks sent directly to customers.
Seniority
Entry-level (0-2 years experience)