Position will be responsible for intake of all Provider inquiries, claims, corrected claims and reconsideration requests/appeals relating to claims adjudication, benefits and Health Plan Policies. The position is responsible for meeting department production and quality goals.
Education and Experience
High School diploma or equivalent required.
Minimum of one year experience in a claim service area within the Healthcare field with understanding of claims payment, experience processing claims, and answering claims inquiries OR 6 months CCHP temporary experience within the Claims Department.
Previous phone experience required.
Excellent Customer Service Skills with ability to explain complicated claim issues to providers.