REMOTE Medicate Insurance Representative

Aston Carter Remote
remote insurance representative insurance medical calls medicare call center medicaid excel customer service data data entry
March 21, 2023
Aston Carter
Flint
FULL_TIME

Description:

Medicare experience. Shift 11:30-8.

Must have worked in a medical office or call center setting taking a high volume of calls. 2 years in a call center would be sufficient if they don't have medical experience . Position will entail discussing insurance plans and coverage in detail to the individuals that have insurance. Large volume calls, positive attitude, professional presentation, excellent verbal communication skills. This position will be taking approx 80- 100 calls a day and dealing with Medicaid, Medicare, Provider Credentialing, referrals, membership and customer referral programs. Good data entry skills, working with Word, Excel and internal database.

There are 3 teams in customer service

Medicaid, Medicare and Provider

Medicaid team will be taking inbound calls from members answering a variety of questions that the members may have or assisting them by looking up what their insurance may or may not cover, issues with billing, requests for a new card, if specific products will be covered by their insurance, updating address's in the system, locating doctors in the network for them. They will be on the phones most of the day. They will document calls into the system as they happen. The transportation clerk will be scheduling pickups and drop offs for members that have appointments that they need to get to. They will ask them location, time, etc. as well as if they will need to go to the pharmacy following the office visit. These positions are all on the phone.

Full time long term opp for the right person.

Position Summary:

This position will be responsible for daily member telephone calls which will include directing

members to the proper services needed, educating members, problem solving, and creating

linkages to the Medical Management Department for authorization of services. Also may be

responsible for assisting providers with eligibility, benefit, and resolution of claims issues.

Essential Functions and Responsibilities:

1. Meet the Department standard of calls answered, and diaries entered.

2. Assist Members and Providers with questions and concerns.

Finding Provider(s)/Services for members

Arrange Transportation for members

Answer billing/claims status questions; resolve claim issues for members

Assist with pharmacy issues

Help Members access community support services

Verify member eligibility

Quote benefits

Assist with Referrals

Assist with member health assessments

3. Ongoing member education.

4. Responsible for all benefits information given to Members and Providers.

5. Participate in Departmental Projects, as appropriate.

6. Coordinate quality improvement initiatives with Medical Management, Provider Relations,

and Quality Depts., i.e., Preventative Health Screenings.

7. Other duties as assigned or when necessary to maintain efficient operations of the

department and the Company as a whole.

Skills:

Customer Service, Medical, Insurance, Microsoft Word, Excel, Data Entry, call center, medical insurance, Medicaid, medicare

Top Skills Details:

Customer Service, Medical, Insurance, Microsoft Word, Excel, Data Entry,call center

Additional Skills & Qualifications:

Must Haves:

Call Center Experience OR Medical office experience, clerical skills, knowledge of insurance(Medicaid, Medicare, or Provider)

Customer Service

Good phone skills

7,000k keystrokes, 80% Word, 80% Excel) Testing will be sent to the client with the resume.

Nice to haves:

Previous experience in a similar role discussing insurance coverage and answering questions pertaining to insurance.

Experience Level:

Expert Level

About Aston Carter:

Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you.

At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions - from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients' capabilities by seeking solvers and delivering solutions to address today's workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit . Aston Carter is a company within Allegis Group, a global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call or email for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.


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