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Position Title:
Customer Service Representative
Department:
Customer Service
Responsibilities:
Working in our call center, the Customer Service Representative is responsible for handling inbound calls while providing efficient and timely responses to insured and medical provider inquiries regarding benefits, claims status, certificate coverages and procedures.
Qualifications:
The ideal candidate will have strong customer service skills refined while working in a call center environment. Experience with and understanding of medical terminology is essential. Excellent communication and multi-tasking skills are required. The environment is highly automated, so the candidate must be proficient with window's based applications. The hours for this position are 9 AM until 6 PM Monday through Friday.
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Position Title:
DBA Coordinator
Department:
ACM
Responsibilities:
The selected individual will assist the DBA team in all aspect of DBA case management. Duties will include working with internal ACM staff; directly with ACM DBA clients; DBA claimants; and international providers
ESSENTIAL FUNCTIONS:
• Assist DBA team in telephonic coordination of claimant health care needs internationally
• Prepare letters to clients, claimants and providers
• Prepare and distribute reports to clients
• Maintain confidentiality and privacy of all protected health information.
• Remain current on regulations and legislation that affect utilization review functions.
• Continue education through relevant reading materials, online courses and/or seminars.
• Report/document complaints when/if received.
• Any other job duties or tasks as assigned.
Qualifications:
Qualifications include:
EDUCATION/LICENSURE AND CERTIFICATES:
• High School diploma
REQUIRED EXPERIENCE:
• Minimum of 2 years experience in a health care setting
• Customer Service experience / dealing with the public
• Good phone skills / etiquette
• Excellent computer skills including Internet, Word, Excel and Access or other database knowledge.
• Experience operating common office equipment such as fax machines, copiers, and printers.
PREFERRED EXPERIENCE:
• Insurance experience
• Customer/client service
• Advanced Access or database knowledge
• Experience designing and preparing customer reports
PROFESSIONAL COMPETENCIES:
• Communication – must be able to express ideas clearly, concisely, and logically.
• Teamwork – must work well in a team and help foster a cooperative environment.
• Flexibility – must be willing to adjust as the industry or job requirements change.
• Initiative – proactive in resolving problems, reporting discrepancies, suggesting new ideas and seeking process improvements.
• Excellent customer service skills and phone etiquette.
• Excellent organizational skills and attention to detail
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Position Title:
Client Services Coordinator
Department:
ACM
Responsibilities:
The selected individual will be responsible for the setup and maintenance of clients in the information system, preparing eligibility files for loading the system and developing an preparing client reports. Additional duties will include preparing client invoices, distributing invoices, and assising with the accounts receivable functions.
Qualifications:
The ideal candidate will have excellent computer skills including proficiency with Excel. Knowledge of Power Point and Peachtree or other accounting software is preferred. This position will require the ability to provide outstanding customer service.
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