Customer Service Rep

Customer Service Rep
Wheeling, WV Charleston, WV
Full-Time
Operations - Medicare, Medicaid, Commercial & Self-Funded
Manager

The Customer Service Representative is responsible for answering phone calls in a prompt and courteous manner to achieve contractual obligations.

Responsible for answering members and providers questions with a quick and accurate response.

They are also responsible for timely completion of all correspondence, faxes, emails, voicemail and reporting functions associated with the Customer Service Unit.

  1. High School graduate or equivalent.
  2. Strong ability to relate with a variety of people in a non-judgmental manner.
  3. Strong organizational, verbal and written communication skills.
  4. Possess some knowledge of the health care system.
  5. Microsoft Office programs (Excel, Word, Outlook) and keyboard skills.
  6. Proper usage of the English Language.
  7. Courteous manner/even temperament.
  8. Excellent telephone skills.

  1. College degree with interest in health field.
  2. Previous call center experience.
  3. Knowledge of medical terminology.
  4. Knowledge of CPT and ICD-10 coding.
  5. Familiar with medical and hospital claims.
  6. Familiar with Prescription Coding (NDC).
  7.  Familiar with Coordination of Benefits ruling.

Employment Documents

EEO

Or, if you are interested in a fast-paced career with us, please send resume with salary requirements to:

HR Department 
1110 Main Street
Wheeling, WV 26003-2704
hr@healthplan.org