Claims Support Specialist
Claims Support Specialist
Overview:
Do you want to be a part of an exciting team? ClaimLinx specializes in consulting businesses on health insurance benefits solutions. In business since 2004, our approach is unique in the market in that we focus strategically on allowing the employer to provide health benefits in the most cost-effective way to their employees. We are a family-owned business that offers a collaborative team environment focusing on client solutions.
At ClaimLinx, you are not just a number, but a part of a team of associates focused on providing cost-effective health insurance options to small businesses. We are actively building a culture of continuous growth and development, and growth opportunities are available at every level of the company.
We are looking for a dynamic, thoughtful, and reliable service coordinator with great organizational and people skills to join our team.
Duties and Responsibilities:
This position will perform such activities as: answering phone calls from members and providers, responding to member and provider email inquiries, online chat messages from members and providers, assist claims processors
- Ability to directly educate and respond to telephone and written inquiries from providers and members regarding plan benefits, eligibility and claims determination for all lines of business (medical, dental and vision).
- You will provide and assist with research for processes and resolution to inquiries and other related claim correspondence
- Respond and research online inquiries received from the member portal and/or the help site
- Data entry
- Assign activities, tasks, inquiries, issues or updates on CRM (Customer Relationship Management System)
- Ability to demonstrate a willingness to commit time and effort to increase professional development
Education & Skill Requirements include:
- High school graduate, some college preferred
- At least 2 years in a business environment
- At least 2 years experience in customer service, data entry or client services
- Healthcare Industry knowledge with the capability of understanding insurance terminology
- Must be able to understand claims terminology, medical billing and coding experience a plus but not a requirement.
Abilities:
- Career minded & self-motivating
- Excellent customer service skills
- Excellent communication skills
- Able to work in a fast paced environment
- Professional appearance and demeanor
- Ability to handle sensitive information and maintain a high level of confidentiality
- Experience with data manipulation for importing & exporting information
- Ability to trouble shoot, research & problem solve
- Organization, attention to detail, flexibility and strong ability to multi-task
- Ability to work without direct supervision and demonstrate initiative
Technology Requirements:
- Microsoft Office Products (Excel, Word, PowerPoint & Access)
- QuickBooks Online
- CRM (Customer Relationship Management System)
- Basic knowledge of use of the email system, phone system, fax, computer copier etc.