MedWatch, LLC ยท 7 hours ago
Concierge Customer Service Representative
United States
Full-time
Remote
Entry Level
$16/hr - $18/hr
1+ years expMedWatch, LLC is seeking a Concierge Customer Service Representative to provide excellent customer interaction skills. This role involves responding to customer inquiries, assisting members with benefits and healthcare questions, and documenting all communications.
Clinical TrialsHealth CareMedical
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
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 and 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
Medical Intake or Third-Party Administrator (TPA) experience
Bilingual English-Spanish
Understanding of Self-Funded health benefits
Claim processing skills
Insurance verification or pre-certification
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
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