Job Description

Job Description

Immediate need for a talented Call center rep (Claims) . This is a 05+months contract opportunity with long-term potential and is located in Atlanta, GA (Hybrid) . Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-73190

Pay Range: $21 - $23/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Staff will log into phone queue, answer calls from providers, retrieve voicemails, and review reports for any provider & member follow-up calls that need to be conducted.
• Team members will review prior authorizations to confirm the site of care is appropriate and redirect members to alternative servicing providers when needed based on policy.
• This will require phone outreach to providers and members.
• Performance expectations will be based on the quality of customer services to members & providers, site of care review process, and number of successful contacts.

Key Requirements and Technology Experience:

• Key Skills; Pharmacy
• Call center
• Claims
• Knowledge of health care, managed care, Medicare or Medicaid preferred.
• Claims billing/coding knowledge preferred. Customer service experience
• High School Diploma or equivalent

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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