Sr. Customer Service Specialist (Remote Inbound Ca

at MultiPlan in Naperville, Illinois, United States Job Description At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders -- internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!! Come show off your customer service soft skills as a Sr. Customer Service. This position is responsible for the handling, research, and communication regarding complex and escalated claims inquiries stemming from patients, clients, provide. Ideal candidates will have three years of call center customer service experience with knowledge of healthcare claims and appeals procedure. Experience in remote working and knowledge of insurance company and medical service provider terminology highly desirable. * You will have a steady Monday through Friday 40 hour per week schedule between the hours of 8:00 am and 5:00 pm CT. Employees are able to pick from available flexible schedules after completing training. * Earn $19.18 per hour (pay varies based on incumbents state of residence) and have the opportunity to receive additional quarterly bonuses based on performance after completion of 90 work day probationary period. * We provide an excellent paid virtual classroom training program as well as continuous on the job coaching and mentoring. We also have advancement and growth opportunities available to employees. * Find more information on what it's like to be a MultiPlan employee on our Careers page at www.multiplan.com Do you know someone who you think would be a great fit for this position? To share this job with someone, click the envelope icon at the top of this page. JOB SUMMARY: This position is responsible for the handling, research, and communication regarding complex and escalated claims inquiries stemming from patients, clients, providers, and internal customers', including both intake and resolution. In addition, this position is also responsible for coaching and mentoring. JOB ROLES AND RESPONSIBILITIES: 1. Investigate, analyze, research, and resolve complex and escalated claim inquiries from patients, clients, providers, and internal customers' as a result of issues related to discounts, payments and balance billing. This includes handling legal inquiries or department of insurance complaints. 2. Provide resolution and closure to the applicable recipients. Create and execute business correspondence to clients or providers using multiple media formats such as but not limited to emails, form letters, and issues specific letters. This includes initiating resolution and follow up calls to clients and providers. 3. Adhere to client turn around requirements as it relates to response time and required actions. 4. Ensure investigative notes related to any contact with providers and clients are documented and accessible throughout the applicable systems. 5. Ensure the maintenance of and compliance with department standards for production, accuracy, and turnaround time. 6. Perform system claim adjustments based on outcomes and communicate with client regarding confirmation. 7. Assume and resolve escalated claim and inquiries from team members. Serves as back-up for team members, or Leadership. 8. Coach and mentor less experienced team members on claims handling, resource utilization, and appropriate resolutions. 9. May include call center responsibilities, including adhering to call center standards. 10. Assist in training new team members as needed and providing feedback to Leadership. 11. Various research projects for Sr. Management and Clients, as assigned. 12. Collaborate, coordinate, and communicate across disciplines and departments. 13. Ensure compliance with HIPAA regulations and requirements. 14. Demonstrate Company's Core Competencies and values held within. 15. Please note due to the exposure of PHI sensitive data, this role is considered to be a High Risk Role. 16. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be... For full info follow application link. As an Equal Opportunity Employer, the Company will provide equal consideration to all employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national origin, citizenship status, physical or mental disability, political affiliation, service in the Armed Forces of the United States, or any other characteristic protected by federal, state, or local law. Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled To view full details and how to apply, please login or create a Job Seeker account