
Healthcare Insurance Specialist
2 days ago
We are seeking a detail-oriented and customer-focused professional to assist members and providers with inquiries, process enrollments, handle billing concerns, and ensure accurate and timely updates to member accounts.
This role involves handling inbound and outbound calls, emails, or chat inquiries from members, providers, and other stakeholders regarding healthcare insurance billing and enrollment.
The ideal candidate will have prior healthcare insurance experience, specializing in billing and enrollment, and possess strong knowledge of healthcare plans, benefits, and insurance processes.
Key Responsibilities:
- Process new enrollments, policy changes, and terminations accurately in accordance with company and regulatory guidelines.
- Address billing-related inquiries, including payment posting, invoice clarification, and account adjustments.
- Educate members on plan benefits, coverage details, and payment options.
- Maintain accurate and up-to-date records in the system, ensuring data integrity and compliance with HIPAA and other applicable regulations.
Requirements:
- Educational Background: SHS Graduate and/or Completed 2 years in college; Preferably a Medical Allied Graduate (such as BSN, Pharmacy, and/or Physical Therapy)
- Experience: At least 6 months to 1 year of BPO experience, fresh graduates are welcome to apply
- Good Communication skills
- Preferably with strong knowledge of healthcare plans, benefits, and insurance processes.
Benefits:
- Full-time employment
- Opportunity to work in a dynamic team
- Professional growth and development
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