Ready to make a difference? Apply now and be part of Team ImagenetLLC!
About the Role:
Join our team as a Healthcare Customer Service Rep II, where you will play a crucial role in taking member services calls in relation to policy management, benefits and claim inquiries. You will be a valued member of the team, providing exceptional customer service to our clients and members by ensuring their satisfaction on calls. As a key contributor, you will be responsible for accurately and efficiently reading and relaying information to members.
This position requires a solid understanding of the healthcare medical claims, benefits and policy process flows and expertise in healthcare terminology, including ICD-9 and ICD-10 coding.
Job Type: Full-time - 100% Remote Position
Schedule: Monday -Friday 9:00am to 9:00pm EST/8:00am to 8:00pm CT (shifting schedule) Possible Saturday shifting.
Weekend shifting available.

PREFERRED EXPERIENCE:

• Comprehensive knowledge of healthcare industry practices, including:
• Medical terminology
• Eligibility and benefits verification
• Medical claims processing
• ICD-9 and ICD-10 coding
• Policy and procedural workflows
• Proficient in computer operations, including data entry, screen navigation, and keyboarding
• Demonstrated excellence in customer service and client interaction
• Strong adherence to daily schedules, tasks, and performance metrics
• Ability to multitask effectively while maintaining high attention to detail
• Self-motivated, well-organized, and skilled in time management and problem-solving
• Capable of working independently and collaboratively within a team environment

REQUIREMENTS:

• High School Diploma or GED required
• Excellent verbal communication skills
• Minimum of 2 yrs experience in one or more of the following areas:
• Claims examination
• Health Insurance
• Customer Service or Call Center
• Medical office or other healthcare-related fields
• Proven experience in customer service related to claims processing, billing, or similar functions
• Must successfully pass a criminal background check

WORK FROM HOME REQUIREMENTS

• High Speed Internet of 25MBPS download and 5MBPS upload. You will be required to provide a speed test.
• Ability to directly hardwire to your modem
• Required to have a quiet dedicated work area.

• Maintain Confidentiality: Adhere strictly to confidentiality policies and safeguard sensitive member information.
• Escalate Complex Issues: Escalate complex issues to supervisors or managers for further assistance and resolution.
• Continuous Learning: Stay updated on changes in health insurance regulations, policies, and procedures.
• Contribute to Team Success: Collaborate effectively with team members to achieve shared goals and maintain a positive work environment