Santa Ana - BPM Associate (Healthcare Voice)

The Customer Service Associate will provide exceptional customer service to customers via inbound Call Center Operations.

Duties/Responsibilities:

• Receive and respond to inbound phone calls for customer assistance
• Respond to outbound phone call requests
• Document all calls in ticketing and tracking systems
• Respond to customer inquiries and provide data to customers within a required time frame
• Act as liaison between claims department and providers
• Research customer claims in the primary payor systems
• Ensure highest level of customer service on every call
• Perform other duties as assigned or necessary

Required Skills/Abilities:

• High school degree required
• At least 1 year of relevant professional experience in healthcare claims operations or 1-2+ years of relevant experience in a Call Center environment
• Knowledge of physician practice and hospital coding, billing and medical terminology, CPT, HCPCS, ICD-9 and ICD-10 an advantage
• Must be able to work with minimal supervision
• Maintain a full comprehensive understanding of the covered benefits, coding and reimbursement policies and contracts
• Excellent verbal and written communication skills.
• Attention to detail and problem solving skills
• Proficiency with MS Office applications, especially Word and Excel
• Amenable to working nightshift