Job details
Job type full-time
Full job description
Handles inbound phone calls from providers, va, and other customersReviews claims and responds to billing questionsProvides updates on claim status, including notification that claims are in process, pending for more information, and deniedWorks in a detailed, fast-paced, and repetitive production environmentInteracts with customers in a professional, formal manner where the focus is on completing the task pleasantly and with high quality and accuracy.
Education & experience
Required:
O high school diploma or g.e.d.
O 1+ years’ healthcare claims, billing or related healthcare area
O good communication skills
O call center or customer service experience
O proficient with outlook, microsoft excel, the internet and on-line systems
Preferred:
O 1+ years college or equivalent experience
O 1 year call center or customer service experience
O knowledge of medical claims processing/review
O medical terminology knowledge
Key responsibilities
O utilizes various software applications in use at triwest
O understands procedures and processes of the va program o answers inbound calls from providers in a timely manner
O answers questions related to the status of providers’ claims
O conducts basic claims history research to answer provider questions
O documents all communications involving provider contacts
O escalates complex claims issues for further review
O consistently displays professional customer service skills to internal and external customers
O protects the privacy of health information of patients when using or disclosing protected health information (phi)Phi is any information about health status, or healthcare services that is linked to an individual
O takes appropriate measures to comply with hipaa regulations to protect privacy of beneficiaries` health information
O consistently meets department productivity and performance metrics
O performs other duties as assigned
O regular and reliable attendance is required
Company overview
Taking care of our nation’s veterans.
It’s who we areIt’s what we do.
Do you have a passion for serving those who served?
Join the triwest healthcare alliance team! we’re on a mission to serve ®!
Our job is to make sure that america’s heroes get connected to health care in the community.
At triwest healthcare alliance, we`ve proudly been on that important mission since 1996.
Va statement
Benefits
Triwest offers a comprehensive and progressive benefits package that includes:
O medical, dental and vision coverage
O generous paid time off
O 401(k) retirement savings plan (with matching)
O short-term and long-term disability, basic life, and accidental death and dismemberment insurance
O tuition reimbursement
O paid volunteer time
Equal employment opportunity
Triwest healthcare alliance is an equal employment opportunity employerAll qualified applicants are considered for employment, without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic made unlawful by applicable federal, state, or local laws.
