Job Description
Job Description
Dean’s Professional Services is now hiring for qualified, patient-care-focused Customer Service Advocate II to work for a warehouse facility in Houston, TX.
Must be English / Spanish Bilingual
We are on a mission to create care that’s more convenient and professional. With solutions that are value-based and patient-centered.
To accomplish this, we are looking for individuals who share our sense of excellence and are ready to embrace new opportunities!
Customer Service Advocate II is responsible for responding to incoming hotline inquiries as they relate to benefit and eligibility verification, claim status (with the ability to identify if a claim require reconsideration) authorization status, and complaints, accurate documentation recording of all calls : effective follow-up of class, as required : and proper electronic routing with effective documentation skills while maintaining confidentiality per HIPAA guidelines.
Job Responsibilities :
- Ability to respond effectively and timely to inbound calls regarding benefits and eligibility, claims processing status, and authorization status.
- For those calls pertaining to claims inquiry, the Customer Service Advocate will effectively handle questions and document transactions in the proper claim modules, provide first call resolution, when possible by identifying problems and providing solutions, submitting adjustments reconsideration request when appropriate and identify and track trends and report them to the appropriate manager for resolution.
- Maintains a working knowledge of the claim systems and accurately enters the required information into the designated Customer Relationship Management system (CMR), while adhering to departmental and organizational policies and procedures.
Job Requirements :
- High school diploma or equivalent. Required.
- 1 year of experience in related field.
- Must be English / Spanish Bilingual
Job Details :
- Schedule varies; Typically M-F hours between 8am -5pm
- Possibilityof Remote after completing training and meeting requirements
- $17.50 / hr + benefits (Based on experience) + benefits
- Full benefits healthcare, dental, vision, 401k program
- Temp-to-Hire opportunity
Dean’s Professional Services is a national, award-winning staffing solutions firm. Since 1993, DPS has placed over 45,000 professionals across the nation.
We work with our clients to provide placement opportunities that match your skill, experience, and personality. For more information please visit www.
deansprofessionalservices.com.
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