Idaho Licensed Healthcare Customer Service Rep

A company is looking for a Healthcare Customer Service Rep II to provide support in policy management, benefits, and claims inquiries. Key Responsibilities Process member payments, update member information, and handle policy terminations and reinstatements Provide accurate coverage information, assist with prior authorization and referrals, and conduct healthcare provider contact research Offer claims status updates, answer claims inquiries, and assist with reconsideration requests for denied claims Required Qualifications High School Diploma or GED required 2-3 years of experience in claims examination, health insurance, customer service, call center, or medical office Must pass a criminal background check In-depth knowledge of healthcare terminologies, eligibility, benefits, medical claims, and ICD-9/ICD-10 coding Strong computer experience and ability to work independently and collaboratively

Mar 18, 2025 - 01:29

A company is looking for a Healthcare Customer Service Rep II to provide support in policy management, benefits, and claims inquiries. Key Responsibilities Process member payments, update member information, and handle policy terminations and reinstatements Provide accurate coverage information, assist with prior authorization and referrals, and conduct healthcare provider contact research Offer claims status updates, answer claims inquiries, and assist with reconsideration requests for denied claims Required Qualifications High School Diploma or GED required 2-3 years of experience in claims examination, health insurance, customer service, call center, or medical office Must pass a criminal background check In-depth knowledge of healthcare terminologies, eligibility, benefits, medical claims, and ICD-9/ICD-10 coding Strong computer experience and ability to work independently and collaboratively