Provider Inquiry Associate/Call Center Representative

Washington, DC Full Time

POSTED ON 4/5/2024

Job Posting for Provider Inquiry Associate/Call Center Representative at Business Promotion Consultants, Inc. (BPC)

REQUIREMENTS:

High School Diploma or equivalent; some college preferred
1-2 years experience in a 'Medical' Call Center - Call Center background
Understands Medicaid, Medicare, Medical Insurance and the managed health care industry
Knowledge and experience with medical and dental claim forms
Lap top/PC and Microsoft Office proficiency
Excellent communications skills

Personal Characteristics:
- Excellent attendance and work record; detail oriented
- Positive attitude
- High energy; enthusiastic team player

DUTIES AND RESPONSIBILITIES:

Responds to in-coming customer/'provider' inquiries and complaints while entering data in a call center environment.
Researches information, resolves issues and explains eligibility claims, appeals, and reprocessing of claims to billing providers; makes outbound calls to providers; logs all customer calls
Returns claims, when necessary, with a write-up, indicating the reason for the return
Performs all other duties as assigned

BPC is an equal opportunity employer.

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