Medicare Claim Representative (JOB ID 878) Position Available In Fulton, Georgia
Tallo's Job Summary: OneSparQ seeks a Medicare Claim Representative for a health insurance provider in Brookhaven, GA. The role requires 1+ years of Medicare Claims adjudication experience and proficiency in Microsoft Suite. Responsibilities include handling customer calls, providing claim status information, guiding customers through the claims process, and maintaining customer confidentiality. Training sessions are provided to stay updated with industry regulations.
Job Description
OneSparQ is looking for a Customer Service Representative for a health and life insurance provider in Brookhaven, GA.
Required Skills:
1+ years of experience within Medicare Claims adjudication 1+ years of experience working in a call center environment with a one call mindest Proficiency with Microsoft Suite of products
Additional Skills:
Experience with Claims Adjudication and EOB Familiarity with the
Medicare Supplement Process Responsibilities:
Handle inbound calls from customers regarding health insurance claims Provide accurate information about claim status, policy coverage, and benefits Assist customers in filing health insurance claims and guide them through the process Document all customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken Coordinate with the claims department to resolve customer issues Maintain customer confidentiality and adhere to health privacy regulations Participate in training sessions to stay updated with the latest industry regulations and practices
