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Skills
Billingunmatched
Call Centersunmatched
Call Volumeunmatched
Communication Skillsunmatched
Corporate Policiesunmatched
Current Procedural Terminology (CPT)unmatched
Customer Escalationsunmatched
Customer Relationsunmatched
Customer Support/Serviceunmatched
Data Entryunmatched
Demographicsunmatched
Detail Orientedunmatched
Diagnosis-Related Group (DRG)unmatched
English Languageunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
Health Insuranceunmatched
Healthcareunmatched
Healthcare Customer Serviceunmatched
High School Diplomaunmatched
Hospitalunmatched
Maintenance Servicesunmatched
Medical Terminologyunmatched
Medical Treatmentunmatched
Multilingualunmatched
Payment Processingunmatched
Presentation/Verbal Skillsunmatched
Privacy Controlsunmatched
Schedule Developmentunmatched
Spanish Languageunmatched
Telephone Skillsunmatched
Time Managementunmatched
Writing Skillsunmatched
Description
Customer Service Representative Healthcare
Remote Role
Duration: 6 months
Job Summary
We are seeking a Customer Service Representative to handle incoming calls and assist customers with questions, complaints, and service requests. The ideal candidate will have strong communication skills, attention to detail, and experience in a customer service or healthcare environment.
Key Responsibilities
Answer incoming calls and respond to customer inquiries promptly, accurately, and professionally.
Assist customers, providers, physicians, hospitals, beneficiaries, and other healthcare partners.
Develop and maintain knowledge of company policies, procedures, and services.
Use automated systems to retrieve and document information and perform accurate data entry.
Respond to inquiries received by phone, email, fax, or mail within required turnaround times.
Verify healthcare services to support accurate payment processing.
Review medical claims based on established CPT/DRG audit criteria and submit required billing information.
Investigate, resolve, and escalate provider or customer issues as appropriate.
Serve as a liaison between internal teams and external healthcare partners.
Collect and enter demographic, provider, and procedure information to initiate cases.
Meet or exceed established standards for call volume, quality, and service levels.
Complete daily, monthly, and quarterly reports as required.
Maintain confidentiality and comply with HIPAA and all applicable privacy and security policies.
Maintain regular and reliable attendance and work scheduled hours as required.
Required Qualifications
High School Diploma or equivalent.
Minimum of 2 years of customer service experience.
Strong verbal, written, and active listening skills.
Strong attention to detail and data-entry accuracy.
Ability to work effectively in a fast-paced, customer-focused environment.
Preferred Qualifications
Knowledge of medical terminology or completion of medical terminology coursework.
Knowledge of the health insurance industry.
Previous healthcare customer service or provider support experience.
Bilingual Spanish/English skills are a plus.
Work Environment
Primarily a desk-based position requiring extended computer use.
Must be able to work scheduled hours and meet daily job responsibilities in a timely manner.
Metasys Technologies is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identify, national origin, veteran or disability status.
Numbers & Facts
Location
Remote, GA (Remote)
Industry
Computer/IT Services
Salary
$15.85–$19.81 Per Hour
Company Size
100 to 499 employees
Year Founded
2000
Website
http://metasysinc.com/
About Company
With over 15 years of experience, Metasys Technologies (MTI) provides consultants with rewarding career opportunities in a multitude of organizations.
Rated by The Atlanta Business Chronicle as one of the best places to work, MTI provides our consultants with opportunities for growth and recognition. MTI has a nationwide network of clients including Fortune 50 companies and numerous medium to small sized businesses.
We offer opportunities in I.T. Professional Services, Finance & Accounting, and Business Professional Services.
Our tools and consultant care program help you with the interview process and provide you with continuous guidance and insight.
If you are a candidate looking for career growth or change, we can help you find a career that matches your aspirations.