VBC Customer Services I Representative - Remote at Conifer Health Solutions

, , United States -

Full Time

Start Date

Immediate

Expiry Date

23 Jun, 26

Salary

21.8

Posted On

25 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Experience, Detail-Oriented, Organization, Verbal Communication, Written Communication, Problem-Solving, Eligibility Inquiry, Benefits Inquiry, Claims Inquiry, Authorization Inquiry, CPT Codes, ICD-10 Codes, HCPCS Codes, HCFA1500 Forms, UB04 Forms

Industry

Hospitals and Health Care

Description

JOB SUMMARY Responsible for answering incoming calls from providers, health plan and members as they relate to eligibility, benefits, claims, coverage, and authorization of services. This position will also problem-solve and explain programs and procedures to callers and will answer/address claim payment questions with providers. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Answering incoming phone calls via ACD phone system * Retrieve Voice Mails * Provide eligibility, benefits, claim, and referral status depending on the queue on which they serve * Assist in resolving issues for providers as they relate to claims, authorization and eligibility inquiries KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * A strong sense of responsibility for providing a great customer experience * Detail-oriented and highly organized * Excellent verbal and written communication skills. * Excellent organization skills with ability to handle multiple tasks and prioritize work. * Knowledge of CPT, ICD-10, HCPCS codes, HCFA1500 and UB04 billing forms. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * 1-3 years of customer service experience in a call center and or health care environment preferred * High school degree or equivalent required, bachelor’s degree preferred PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Must be able to work in sitting position, use computer and answer telephone WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office Work Environment Compensation and Benefit Information Compensation * Pay: $14.50 - $21.80 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.

Responsibilities

The representative is responsible for handling incoming calls from providers, health plans, and members regarding eligibility, benefits, claims, coverage, and service authorization. This role also involves problem-solving and explaining program procedures, including addressing claim payment questions with providers.