Senior Claims And Benefits Specialist
Current• Customer Assistance:o Provide comprehensive support to customers, ensuring they understand and maximize their insurance plans, benefits, and coverage.o Navigate various systems and screens to resolve customer issues efficiently.o Transfer customers to relevant departments based on their specific needs.• Effective Communication:o Communicate accurate information to patients in a clear, professional manner.o Collaborate with leadership and support channels to address escalated customer concerns.• Process Optimization:o Educate customers on self-serve options, empowering them to utilize available resources effectively.o Review medical claims for accuracy and submit necessary adjustments.• Compliance and Confidentiality:o Adhere to company policies and SOPs, ensuring compliance with HIPAA guidelines.