Top 4212 Claim Resolution Representative Jobs

Remote Healthcare Customer Service Representative
Conduent Commercial Solutions, LLC —Remote
- $16 an hour
- Email
- Remote
- Background check
- Microsoft Outlook
- Computer literacy
- Paid training
- Paid holidays
Medicare Account Resolution Specialist - Digitech - Remote
Sarnova —Remote
- Full-time
- Remote
- Microsoft Outlook
- Word processing
- Computer literacy
- 401(k)
Quick Apply
Patient Account Representative - Remote
Med-Metrix —Remote
- Full-time
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Contact Center - CSR-1 - Customer Service Representative 1
Wellcove —Remote
- Full-time
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- Background check
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- Typing
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Allowables Representative
TeamHealth —Remote
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Sarnova —Remote
- Full-time
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Customer Service Representative - Part Time (Remote)
GETIX HEALTH —Houston, TX
- $17 an hour
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- Spanish
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- English
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Customer Service Representative
ibex Limited —Washington, DC
- Weekends as needed
- 18 years or older
- HIPAA
- High school diploma or GED
- Paid training
- Opportunities for advancement
Healthcare Customer Service Representative
University of Colorado Medicine —Remote
- $22 - $25 an hour
- Full-time
- Remote
- Research
- Mid-level
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- Health insurance
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12d
Account Resolution Representative
Children's Wisconsin —West Allis, WI
- Full-time
- Remote
- Anatomy knowledge
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Customer Service - Work at Home
ibex Limited —Hampton, VA
- Remote
- Entry level
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Claims Customer Service Representative I
Partnership HealthPlan of California —Fairfield, CA
- $29.95 - $35.19 an hour
- Full-time
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Insurance Billing - Special Utilities - Digitech - Remote
Sarnova —Remote
- Full-time
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- Computer literacy
- HIPAA
- High school diploma or GED
- 401(k)
Quick Apply
14d
Work from Home: Customer Service Representative (Healthcare)
Sagility —Remote
- $11 - $15 an hour
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- 18 years or older
- Research
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Patient Services Representative I - Remote - Nationwide
Vituity —Sacramento, CA
- $17.12 - $19.04 an hour
- Overtime
- Remote
- Spanish
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- Windows
- Profit sharing
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EDI Helpdesk Representative - Remote US
Gainwell Technologies —Montana
- $35,000 - $50,000 a year
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
- Travel reimbursement
- Profit sharing
Call Center Representative-Remote TX Resident
OrthoLoneStar —Houston, TX
- Full-time
- Microsoft Excel
- Microsoft Outlook
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Insurance Account Resolution Specialist - Digitech - Remote
Sarnova —Remote
- Full-time
- Remote
- Microsoft Outlook
- Research
- Mid-level
- 401(k)
Quick Apply
Senior Enrollment Representative
Optum —Eden Prairie, MN
- $20.38 - $36.44 an hour
- Full-time
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- Microsoft Word
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CBO AR Representative
MedSrv —Remote
- $18 an hour
- Full-time
- Remote
- Computer literacy
- Mid-level
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Quick Apply
12d

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Remote Healthcare Customer Service Representative

Conduent Commercial Solutions, LLC -
Remote

Apply Now

Job Details

Full-time
$16 an hour

Benefits

Paid training
Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
Retirement plan

Qualifications

Computer operation
Microsoft Outlook
Phone communication
Computer literacy
Writing skills
Word embeddings
Typing
Client interaction via phone calls

Full Job Description

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Remote Call Center Representative

Would you enjoy being part of a team that makes a difference in people’s lives? Do you love helping people solve complex problems and deliver solutions? We are looking for people with a passion for helping others, naturally empathy, and are determined to deliver a comprehensive solution to healthcare-related calls. To be successful customer service experience is a plus, but not a requirement.

Conduent has plenty of growth opportunities within the healthcare team.

The pay rate is $16 per hour, which may be below your state’s minimum wage. Please take this into consideration when applying.

Training is 5 weeks classroom and 2 weeks nesting.

Successfully complete a mandatory paid training program with 100% attendance.

Hours of operation: Monday – Sunday 7:30am – 11:00pm EST

Medical, dental and vision benefits are available on the 1st day of employment.

Paid time off is accrued after 180 days (about 6 months) of employment.

Successfully navigate 6 systems and average 32 calls per day.

Responsibilities for Remote Call Center Representative:

Respond to inbound inquiries regarding dental benefits, eligibility, claims, appeals, grievances, and provider searches for both Commercial and Medicare plans.

Provide uniform interpretation and clarification of dental benefits, policies, and procedures to members, providers, and employer groups.

Actively attempt to resolve member or provider concerns by investigating issues, contacting appropriate parties, and documenting all interactions accurately within the billing system.

Investigate verbal complaints regarding billing, claims, or services rendered; escalate service failures to appropriate internal departments for follow-up and resolution.

Retrieve and send written correspondence, including plan brochures, provider directories, and other printed materials as needed.

Meet or exceed established ACD (Automated Call Distribution) system call volume and quality performance goals.

Achieve all assigned individual monthly performance metrics.

Maintain current and thorough knowledge of all Member Services policies, procedures, and dental plan updates.

Perform additional duties and responsibilities as assigned by management.

Requirement for Remote Call Center Representative:

Successfully complete customer service assessment & typing test.

High school diploma, GED, or college degree

At least 1 year of Call Center experience preferred.

1 year of face-to-face customer service experience.

Knowledge of and prior experience in the Dental, Medical or Managed Care industry is preferred.

Must possess the following characteristics: self-motivation, resourceful, detail-oriented, sense of accountability and must be a team player.

Must possess strong skills in the following areas: organizational, time management, written and verbal communication, analytical, and problem solving.

Proficiency in Microsoft Word, Microsoft Outlook, and Internet Explorer.

Effective communication skills over the phone.

Ability to deal with problems involving several concrete variables in standardized situations.

Successful completion of background check is required for this position.

Equipment and workspace requirements:

We provide all equipment. (Computer, Monitor, Mouse, Keyboard, Headset, Ethernet Cord, Power Cables)

You must have a home internet connection of 10 Download and 3 Upload Speed (you may do a quick check through https://www.speedtest.net/

Must be able to hardwire your work computer directly to your home modem via ethernet. Ensure the available connection meets the minimum bandwidth requirements to perform your job function. Satellite internet and wireless internet are not acceptable.

Must have a distraction free and secure work environment. (Workspace must be clutter free, free of distraction, no one is allowed in workspace during working hours, no writing utensils, or unauthorized electronics in the work area).

The application process will take less than 20 minutes and includes everything required to be considered.

Apply to the role and provide your basic profile information (2 minutes)

Answer prescreens questions to be sure you meet the minimum requirements for the role (3 minutes)

Complete a typing test (1 minute) You will need a keyboard.

Take a short assessment to determine your fit for the role and set everyone up for success (10 minutes).

Important

It is important that you complete the application in a timely manner to be considered for the role.

Your local library, shipping store or search, ‘public computers near me’ if you do not have a computer.

Important:

Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in states where our compensation structure complies with applicable wage regulations. As a result, we may be unable to consider applicants from certain states or municipalities at this time.

We are currently NOT hiring in the following geographies, including but not limited to:

States: AK, CA, CT, HI, IL, MA, MD, MT, NJ, NY, OR, WA
Metro Areas: Minneapolis - MN, Washington, DC, Denver/County of Boulder/Edgewater County - CO

Be part of the future

Are you seeking an opportunity to make a real impact in a company that appreciates ideas and new ways of thinking? Come join us and grow with a team of people who will challenge and inspire you to be the best!

Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $16.00/hour.

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.

For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to [email protected]. You may also click here to access Conduent's ADAAA Accommodation Policy.

Apply Now

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