Top 5 Claims account Jobs in Temple, Ga

Claims Account Representative
Verida Inc —Villa Rica, GA
- Extended hours
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Claims Account Representative

Verida Inc -
Villa Rica, GA

Quick Apply

Job Details

Full-time
14 days ago

Qualifications

Objection handling (sales technique)
Microsoft Excel
HIPAA compliance
Management
Phone communication
Word embeddings
HIPAA
Employee relationship building
High school diploma or GED
Policy & process development
Accounting
Productivity software
Clinical confidentiality policies
Training
Cross-functional collaboration
Grammar Experience
Policy Development

Full Job Description

POSITION CONTINGENT UPON CONTRACT AWARD

SUMMARY: Provides excellent customer service to non-emergency Medicaid and MCO transportation providers. Answers calls regarding existing claims status, including handling tasks associated with those claims. Monitors timely receipt of information to contractors/providers. Ensures complete and sound claim settlements and investigations when necessary. Examines records and ensures that transportation providers are paid according to the contractual terms. Maintains the accuracy and confidentiality of data, records, and files. Provides customers/providers with exceptional quality and efficient customer service.

ESSENTIAL FUNCTIONS

Answers calls regarding existing claims status
Provides first call resolution; working with appropriate internal/external resources, completing the necessary follow-up, and ensuring closure of the inquiry
Answers incoming requests in a friendly manner, responds to routine questions; inputs and/or logs information received into the computer equipment; directs requests to the appropriate department or agency for further action.
Resolves claims problems by clarifying issues, researching and exploring answers and alternative solutions, implementing solutions, and escalating unresolved problems.
Listens and communicates clearly, professionally and empathetically
Works from established procedures, scripts and job aids to handle multiple applications while assisting customers on the phone
Escalates problems or inquiries as needed
Maintains quality, accuracy and professionalism in a fast-paced environment
Ability to multi-task and adapt to changing environment
Processes claims
Able to handle complex claims
Must have good understanding of contracts, claims processing, and policies
Excellent knowledge of the organization
Claims related project work
Other duties as assigned

REQUIRED SKILLS AND ABILITIES

Professional telephone etiquette including excellent verbal communication skills and use of proper grammar
Ability to process information and react quickly and appropriately
Strong work ethic and self-starter, able to effectively manage multiple priorities and adapt to change within a fast-paced business environment
Excellent listening skills and the ability to ask probing questions, understand concerns, and overcome objections
Prior customer service experience
Must adhere to HIPAA standards
Displays written and verbal communication skills with executive management and staff, and is able to follow written and oral instructions.
Ability to process, formulate and modify policies; train and direct staff.
Possesses good organizational skills, ability to focus on assigned tasks
Able to work collaboratively, diplomatically, and with integrity in identifying and resolving problems.
Displays knowledge of ethical principles and compliance issues in an accounting setting.
Ability to foster positive working relationships across all departments
Able to handle highly confidential and sensitive information
Highly organized, displays strong attention to detail and accuracy
Ability to multi-task giving attention to deadlines
Intermediate level proficiency in Microsoft Word and Excel
Ability to work extended hours when workload necessitates

Professional appearanceQUALIFICATION

High School diploma.
Minimum of 2 years leadership experience
Minimum of 3 years of recent (within the last 5 years) claims processing experience
Healthcare, Medicaid and MCO, claims experience a plus

Quick Apply

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claims account jobs in temple, ga

Claims Account Representative

Insurance Account Representative - State Farm Agent Team Member

Insurance Account Position - State Farm Agent Team Member

Insurance Account Representative

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