South Carolina Healthcare Customer Service Rep

Job Summary

A company is looking for a Healthcare Customer Service Rep II.

Key Responsibilities

• Process member payments and address billing inquiries
• Provide accurate information about coverage plans and assist with prior authorization and referrals
• Handle claims inquiries and provide status updates on claims processing

Required Qualifications

• High School Diploma or GED required
• Minimum of 2 years of experience in claims examination, health insurance, or customer service
• Proven experience in customer service related to claims processing or billing
• Solid understanding of medical terminology and ICD-9/ICD-10 coding
• Must successfully pass a criminal background check