Found Description
Performs timely and accurate review of electronic records/documentation scanning for completeness of submissions in accordance with established policies.
Identifies opportunities and reports on inaccuracies that may be present in reviewed documents.
Learns CRM system and is able to access different internal online resources to obtain required information in a timely manner.
Performs inbound and outbound calls to insurance companies, medical facilities and customers in the US.
Responds to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met.
Analyzes medical insurance claims for quality assurance.
Resolves moderately routine questions following pre-established guidelines.
Performs routine research on customer inquiries.
Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes perfor...