Customer Care Senior Representative

Responsibilities:

•    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.
•    Performing inbound and outbound calls to insurance companies, medical facilities and customers in the US.
•    Responding to customer requests by phone and/or in writing to ensure customer satisfaction and to assure that service standards are met 
•    Analyzing medical insurance claims for quality assurance
•    Resolving moderately routine questions following pre-established guidelines 
•    Performing routine research on customer inquiries.
•    Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team

Requirements:
•    Proficiency in Microsoft office programs and general computer operations
•    Ability to learn and follow basic direction on process
•    Must have mastery of the English language, both oral and written
•    Must be detail-oriented and organized to maintain accurate records
•    Must have the ability to focus and work quickly
•    Able to work independently
•    Sense of urgency in reporting any concerns to immediate supervisor
•    High School diploma or equivalent required
•    1-2 years’ experience working in the medical field preferred

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