Nonstop Administration & Insurance Services · 1 day ago
Substantiation Analyst I - Fully Remote (Customer Service)
United States
Full-time
Remote
Entry Level
$28.85/hr - $28.85/hr
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Hiring Manager
Jametria W.
Insider Connection @Nonstop Administration & Insurance Services
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Responsibilities
Resolves assigned tickets in a timely manner with expert customer service using SWIPE within NSE
Maintains initial and consistent communication with members, using appropriate personalized responses
Maintain detailed notes and loop in leadership as needed
Create an organized and detailed spreadsheet to track tickets at all stages, until resolved
Comfortable working in an evolving, high-paced, high-volume remote environment
Excellent understanding of credit card transactions in healthcare
Expert understanding of healthcare and benefits in and out of network (transaction eligibility/provider & facility)
Demonstrates strong customer service while helping members navigate their medical benefit offerings through Nonstop
Experience working with and explaining invoices
Ability to collect accurate and precise information for collection purposes (as/if needed)
Guides members through insurance forms such as Summary of Benefits and Explanation of Benefits
Occasionally work with medical carriers and service provider billing and claims departments to help resolve confidential member issues
Provides clarification to members regarding Nonstop programs including, but not limited to, DME, AltCare Plus, Infertility, and the claims process.
De-escalates situations involving dissatisfied members by offering patient, empathetic, and skilled support.
Maintains customer satisfaction at the core of every decision and task
Builds sustainable relationships and engages members by going the extra mile
Adheres to Nonstop guidelines, policies, and processes, as well as strict observance of HIPAA regulations and client confidentiality agreements
Commits to ongoing professional development
Qualification
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Required
Dedicated workspace free from distractions
Ability to adapt to changing requirements with a positive attitude
Confident critical thinker with intuitive and creative problem-solving abilities
Must be able to learn CRM systems
High Speed reliable internet
Excellent organizational skills, proficient multitasker, and attention to detail
Must be an expert in customer service and an organized self-starter
Ability to commit to deadlines
Ability to confidently request assistance and take direction as needed
Willingness to work a flexible schedule (if requested)
Ability to communicate with staff, management, and clients effectively and professionally
Strong phone and writing skills (required)
High school diploma or GED equivalent (required)
Proficient with Google Suite products (Sheets, Docs, etc.) or equivalents
Familiarity with medical insurance and medical benefits
Benefits
Internet Reimbursement
401(k) plan participation with employer-matched contributions
Full medical, dental, and vision benefits with 100% employer-paid premiums after the introductory period is met
Voluntary Benefits offered for employees and dependents
Company
Nonstop Administration & Insurance Services
With Nonstop Health, organizations with over 50 members on healthcare benefits save an average of 12.5% on their healthcare spend – savings for both the employer and employee.
Founded in 2012
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase
