Experienced Medical Customer Service Representative (Tpa)

Job Title: Medical Customer Service Representative

Job Location: Charlotte, NC

Company Website: http://www.90degreebenefits.com/

TO BE CONSIDERED FOR THE POSITION, APPLICANT MUST HAVE MEDICAL INDUSTRY CUSTOMER SERVICE EXPERIENCE. THIS IS NOT A REMOTE POSITION, THIS IS IN THE CHARLOTTE OFFICE MONDAY - FRIDAY FROM 8:30AM - 5:00 PM.

Company Summary:

90 Degree Benefits is a health benefits company that specializes in designing health plans and administering benefits for self-funded employers. With a fully integrated, comprehensive medical risk management program that improves health care outcomes for plan participants, the 90 Degree Benefits team of experts is able to significantly reduce claim costs for employer clients. Like all of the 90 Degree Benefits locations, the Charlotte, NC office serves employers and their members both locally and nationwide. As leaders in the industry, the 90 Degree Benefits team in Charlotte takes pride in guiding clients on the road to achieving more with their health plan.

Position Summary:

90DB is seeking a full-time Customer Service Representative to join our team. This is a non-exempt position that will be responsible for providing quality Customer Service to TPA clients and providers concerning benefits plans and medical claims. Convenient location in southwest Charlotte. Excellent pay and low cost, comprehensive benefits offered.

Essential Duties and Responsibilities:

• Interacts with customers and handles a high volume of calls daily to provide support and information with our clients, members, and providers as well as internal staff
• Ensures that appropriate actions are taken to resolve customers problems and concerns
• Uses knowledge of a specific product, service, or other assigned area of expertise to answer inquiries or forward to the appropriate staff.
• Maintains customer accounts and records of customer interactions with details of inquiries, complaints, or comments
• Participates in departmental team meetings
• Performs designated activities under the direction of department staff, management, and policy
• Conducts all other administrative duties and special projects, as assigned
• Assists with front desk phone coverage, when needed.
• Gains a good understanding of customer benefit plans to interpret and explain details related to the medical, dental, vision, and short-term disability insurance.
• Answers incoming customer calls regarding benefit plans, service questions, claims processing issues, and general concerns.
• Processes customer information accurately, according to company policies and procedures.
• Ensures HIPAA compliancy with protected health information and data of sensitive nature.
• Responsible for maintaining a high level of professionalism with clients.
• Updates and maintains information in the customer database during and after each call.
• Works with the management team to stay updated on product knowledge and be informed of any changes in company policies.
• Contributes to team efforts to achieve performance goals and project objectives.
• Performs other related duties, as assigned.

Qualifications:

• High school diploma or equivalent; preferred higher education in related field
• Required minimum 5 years of experience in Customer Service in medical industry and management of benefit plans and claims processing (applicants must have this experience to be considered)
• Preferred experience working with TPA (applicants with TPA experience will be first priority)
• Knowledge of Medical Terminology, ICD-10, and CPT codes
• Proven HIPAA compliancy understanding
• Excellent communication skills with internal and external customers, both verbal and written.
• Exceptional organization and follow-up skills
• Proficient computer skills, including Microsoft Office, database, and online programs
• Ability to multitask and answer a high call volume, while managing other responsibilities
• Strong attention to detail

90 Degree Benefits, is an Equal Employment Opportunity (EEO) employer and does not discriminate on the basis of race, color, national origin, religion, gender, age, veteran status, political affiliation, sexual orientation, marital status, or disability (in compliance with the Americans with DisabilitiesAct) with respect to employment opportunities.

Job Type: Full-time

Pay: From $18.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Medical industry: 4 years (Required)
• Medical Customer Service/call center: 4 years (Required)

Work Location: In person