Job Details

Job Summary

Responsible for answering incoming calls from providers, health plan and members as they relate to eligibility, benefits, claims, coverage, and authorization of services. This position will also problem?solve and explain programs and procedures to callers and will answer/address claim payment questions with providers.

Essential Duties and Responsibilities

• Provide eligibility, benefits, claim, and referral status depending on the queue on which you serve.
• Assist in resolving issues for providers related to claims, authorization, and eligibility inquiries.
• Answer incoming phone calls via ACD phone system and retrieve voicemails.
• Address claim payment questions with providers.

Knowledge, Skills, and Abilities

• A strong sense of responsibility for providing a great customer experience.
• Detail?oriented and highly organized.
• Excellent verbal and written communication skills.
• Excellent organizational skills with ability to handle multiple tasks and prioritize work.
• Knowledge of CPT, ICD?10, HCPCS codes, HCFA1500 and UB04 billing forms.

Education / Experience

• 13 years of customer service experience in a call center and/or health?care environment preferred.
• High school degree or equivalent required; bachelors degree preferred.

Compensation and Benefits

• Pay: $14.50 $21.80 per hour, depending on location, qualifications, and experience.
• Signing bonus may be available for qualified new hires, subject to employment status.
• Conifer observed holidays receive time and a half.
• Medical, dental, vision, disability, and life insurance.
• Paid time off (vacation & sick leave) minimum of 12 days per year, accrue at ~1.84 hours per 40 hours worked.
• 401(k) with up to 6% employer match.
• 10 paid holidays per year.
• Health savings accounts, healthcare & dependent flexible spending accounts.
• Employee Assistance program and discount programs.
• Voluntary benefits (pet insurance, legal insurance, AD&D, auto & home insurance, etc.).

Employment Practices

Employment practices will not be influenced or affected by an applicants or employees race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Tenet participates in the E?Verify program.