MedWatch, LLC ยท 6 hours ago
Concierge Customer Service Rep (Remote)
Lake Mary, FL
Full-time
Remote
Entry Level
$16/hr - $18/hr
1+ years exp
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Responsibilities
Respond to telephone and email inquiries received from members and provider within defined service standards.
Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers.
Assist members with benefits and healthcare questions.
Document all calls received in system-based call log.
The incumbent may be responsible for duties or responsibilities that are not listed in this job description. Duties and responsibilities may change at any time with or without notice.
Qualification
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Required
Minimum HS Diploma/GED.
One year Customer Service / Call Center experience in a health care related role.
Patience and ability to handle difficult situations tactfully and diplomatically.
Strong customer relations, interpersonal skills.
Strong appreciation and ability to handle confidential & sensitive information.
Proficient with Microsoft applications, strong computer skills and computer navigation.
Excellent data entry and typing skills.
Knowledge of provider organizations and networks.
Knowledge and understanding of CMS Medicare reimbursement rates.
Ability to effectively negotiate rate structures.
Takes initiative to resolve situations and to accomplish projects actions and tasks.
Excellent verbal and written communication skills.
Independent judgment in decision making and problem solving.
Ability to multi-task & anticipate potential needs/problems.
Ability to build relationships with internal and external customers.
Medical Terminology.
Strong attention to detail.
Strong analytical and research skills.
Preferred
2 years college or higher education preferred.
Medical Intake or Third-Party Administrator (TPA) experience preferred.
Bilingual English-Spanish a plus.
Understanding of Self-Funded health benefits a plus.
Claim processing skills a plus.
Insurance verification or pre-certification a plus.
Provider office/facility billing department or financial area.
Company
MedWatch, LLC
Since 1988, MedWatch has been a leader in providing concierge member advocacy and medical cost containment solutions for TPAs, employer groups, school systems, municipalities, hospital systems, Taft-Hartley plans, and fully insured payers as well as for the reinsurance industry and stop loss carriers.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Sally Ann Polson
President & CEO
Recent News
2024-02-07
Company data provided by crunchbase
