JOB SUMMARY Responsible for answering incoming calls from providers, health plan and members as they relate to eligibility,.
This position will also problem-solve and explain programs and procedures to callers and will answer/address claim payment questions with providers.
ESSENTIAL DUTIES AND.
Others may be assigned.
Answering incoming phone calls via ACD phone system Retrieve Voice Mails Provide eligibility, benefits, claim, and referral status depending on the queue on which they serve Assist in resolving issues for providers as they relate to claims, authorization and eligibility inquiries KNOWLEDGE,.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
A strong sense of responsibility for providing a great customer experience Detail-oriented and highly organized Excellent verbal and written communication skills.
Excellent organization skills with ability to handle multiple tasks and prioritize work.
Knowledge of CPT, ICD-10, HCPCS codes, HCFA1500 and UB04 billing forms.
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment.
This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job.
1-3 years of customer service experience in a call center and or health care environment preferred High school degree or equivalent required, bachelor’s degree preferred PHYSICAL.