Company

VisionSee more

addressAddressNaperville, IL
type Form of workFull-time
salary Salary$19 - $20 an hour
CategoryRetail

Job description

Customer Experience Representative

OVERVIEW OF POSITION: The Customer Experience Representative handles providing service to the client base through effective verbal and written communication as well as troubleshooting and resolving all types of dental claim-related inquiries.

DUTIES & RESPONSIBILITIES:

· Understanding of dental terminology.

· Ability to use good judgment when applying dental knowledge when processing claims and handling client calls.

· Accurately respond to verbal and written inquiries and complaints directly from subscribers, providers, brokers, or group administrators.

· Accurately process claim adjustments during the phone call and/or during regular work time.

· Review and process claims according to established business rules that have failed computer program edits.

· Maintain and follow up on documents for all adjustment requests, check investigations, overpayment letters, and e-forms.

· Complete and keep daily logs/forms/reports.

· Aid in new representatives’ training.

· Accurately completes special projects assigned within specified times.

· Continued training in calls and claims with further progression based on meeting performance requirements.

· Accesses EPHI following the current guidelines as set up at the company-wide and department levels.

· Maintains regular attendance and punctuality.

· Performs other job-related duties as assigned.

· Ability to provide feedback to CS leadership or team members to contribute to one common goal.

EXPERIENCE & QUALIFICATIONS:

· Strong customer service skills.

· Excellent oral and written communication skills.

· Strong computer keyboard skills and capable of working in an ACD environment with talk and work time goals.

· Knowledge of insurance reimbursement practices, i.e., processing policies, deductibles, maximums, Coordination of Benefits (COB), and dental terminology.

· Ability to work independently and execute multiple tasks simultaneously.

· Excellent attendance and punctuality record.

· Strong organizational skills and diligence.

· High School Diploma or Equivalent.

· Speak Spanish fluently.

· Ability to review dental photos and x-rays and make diagnostic determinations based on provider claim narratives.

Job Type: Full-time

Pay: $19.00 - $20.00 per hour

Shift:

  • Morning shift

Weekly day range:

  • Monday to Friday

Work setting:

  • In-person

Education:

  • High school or equivalent (Required)

Experience:

  • Customer: 2 years (Required)
  • dental claims: 2 years (Required)
  • customer service: 2 years (Required)
  • ACD environment: 2 years (Required)
  • insurance reimbursement practices: 2 years (Required)
  • processing policies: 2 years (Required)
  • deductibles: 2 years (Required)
  • maximums: 2 years (Required)
  • Coordination of Benefits (COB): 2 years (Required)
  • dental terminology: 2 years (Required)
  • review dental photos and x-rays: 2 years (Required)

Language:

  • Spanish (Required)

Ability to Commute:

  • Naperville, IL 60563 (Required)

Work Location: In person

Refer code: 8154299. Vision - The previous day - 2024-02-07 18:26

Vision

Naperville, IL
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