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HCS Customer Service Specialist II
Location
Texas
Posted
76 days ago
Salary
$19 / hour
Seniority
Mid Level
Job Description
HCS Customer Service Specialist II
BASF
• Provide professional, accurate and timely responses to CMS (Medicare) and provider inquiries. • Maintain a current knowledge of all contract requirements and objectives. • Develop professional working relationships with colleagues, healthcare providers and other Medicare contractors. • Take inbound calls from providers to answer questions and resolve complex issues. • Make outbound calls to healthcare providers to confirm if letters requesting records for review have been received. • Respond to assigned written communications from providers timely and accurately. • Educate providers on proper process protocols and their appeal rights. • Establish appropriate contacts and perform necessary research to validate provider contact information. • Enter and update all contact and activity information into tracking logs and the audit platform. • Research and route internal/external communications to the appropriate person or department. • Notify management of escalated displeasure, legal action, government intervention, or suggestions for process improvements.
Job Requirements
- At least two (2) years’ experience in a call center or customer service position required.
- At least one (1) year claims processing/billing experience preferred.
- High School diploma or GED is required.
- Must maintain HIPAA Certification.
Benefits
- medical
- dental
- vision
- HSA/FSA options
- life insurance coverage
- 401(k) savings plans
- family/parental leave
- paid holidays
- paid time off annually
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