Job Description
Job Description
Job Description :
The Customer Service Supervisor under department supervisor and responsible for Provides prompt, accurate, thorough and courteous responses to all complex customer inquiries.
Check and process customer bills. Communicate and coordinate with warehouse for delivery.
Duties and Responsibilities :
1.Reviews claims or appeals issues, complaints, and inquiries referred by claims customer service representatives to determine if desk procedures and guidelines were followed.
Researches to identifying underlying causes and determine ways to prevent and correct such causes. Identifies and reports potential fraud and abuse situations.
2.Researches and responds to complex customer inquiries, ensuring that contract standards and objectives for timeliness, productivity and quality are met.
Handles situations that require adaptation of response or extensive research.
3.Examines and processes claims and / or non-medical appeals according to business / contract regulations, internal standards and examining guidelines.
Enters claims into the claim system after verification of correct coding of procedures and diagnosis codes. 4.Ensures claims are processing according to established quality and production standards.
5.Provide feedback to management regarding customer issues. Maintain accurate records concerning issues. Follow through on complaints until resolved or report to management as needed.
6.Maintain knowledge of procedures and policies. Assist with process improvements by recommending improvements in procedures and policies.
Assists in training claims customer service representatives.
7.All other duties as assigned.
NOTE : Duties, responsibilities and activities may change at any time with or without notice.
Minimum Requirements :
- Bachelor's degree or high school diploma with 3+ years of relevant experience. Bachelor's degree strongly preferred.
- Desire to provide the best possible experience for our customers.
- Thrive in a fast-paced environment with coaching support.
- Dedicated to excellent attendance.
- Available for 5 weeks of training, Monday - Friday, 8 : 00 AM to 5 PM.
Benefit :
- Complete insurance coverage that includes medical, dental, vision and life insurance, Flexible Spending Accounts and wellness programs.
- 401(k)
- Paid holidays and generous paid time off.
- Bonus programs that include annual performance, sales goals and profit sharing.
- Career advancement opportunities.
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