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Healthcare Customer Service Representative

San Antonio, TX 78216

Employment Type: Contract to Perm Job Category: Office Clerical Job Number: RW27633539

Job Description

A city funded organization is looking for an experienced healthcare insurance rep to join their team!  Be a part of a “family-oriented” team that works together to achieve great service and benefits for our cities hardworking retiree’s!  The representative is responsible for examining claims and ensuring the highest level of service regardless of the question or concern. 
This opportunity can provide amazing pay, full health benefits for you and your family, a 2 to 1 match 401k, 2 weeks’ vacation, 1 week of sick pay, 13 government holidays, and this all kicks in from day 1!!  The location is centrally located and a beautiful building that is conveniently located near many restaurants and stores for your lunch break.
This position can be temp to hire or direct hire for certain qualified individuals! 
  • Answer questions from providers and members about benefits and eligibility while ensuring communication remains courteous and respectful.
  • Maintain a high accuracy level by always providing complete and accurate information.
  • Document notes of each call to ensure all information is saved correctly.
  • Abide by all customer service goals as set by the department manager.
  • Make callbacks to customers daily as needed.
  • Escalate calls to the necessary department when appropriate.
  • Responsible for processing medical claims.
  • Claims research where applicable.
  • 2+ years of related work experience in inbound call center experience in the health insurance industry
  • 2+ years of related work experience in the claims examiner/adjudication experience on a computerized claims payment system in the healthcare industry 
  • Knowledge of CPT and ICD-9 coding required.
  • Knowledge of COBRA, HIPAA, pre-existing conditions, and coordination of benefits is required.
  • Must possess proven judgment, decision making skills, and the ability to analyze.
  • Qualified candidate should have a professional phone voice at all times.
  • Must learn quickly as well as be able to multitask throughout the day.
  • Must be motivated and have a sound work ethic.
  • Proficiency in maintaining good rapport with physicians, healthcare facilities, clients, and providers.
  • High school diploma or GED is required.
Job Schedule:
  • 8:00 AM – 5:00 PM
  • Monday-Friday 
  • No weekends and off on all government holidays
Job Pay: 
  • $23-$25 per hour
  • 78216 – North Central San Antonio
  • Near San Antonio Airport
FirstOption Workforce Solutions exists to help people build better lives and we sincerely appreciate your interest in joining our team. We provide staffing services and opportunities that make a real difference in the lives of those we serve. Our values reflect who we are as people and guide everything we do. Every member of the FirstOption Workforce Solutions Team is passionate about and committed to excellence in all we do.
Are you ready to join a team that is committed to delivering world-class services to our valued clients? Do you believe that anything worth doing is worth doing right? Would you thrive in a work environment that encourages and supports you in realizing your full potential? Are you a hard worker, dependable, punctual and someone who does whatever is needed to get the job done? FirstOption Workforce Solutions is a place where a person’s talents and hard work are valued, so if you answered YES to the questions above, we would like to talk with you.
Equal Employment Opportunity has been, and will continue to be, a fundamental principle at our Company, where employment is based upon personal capabilities and qualifications without discrimination because of race, color, religion, sex, sexual orientation, age, national origin, disability, or any other protected characteristic as established by law. This policy of Equal Employment Opportunity applies to all policies and procedures relating to recruitment and hiring, compensation, benefits, termination and all other terms and conditions of employment.
#firstoptionworkforcesolutions #buildingbetterlives #hiring #satxjobs #temp2hire #clad210

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