Medicare Benefits Coordinator - Remote CSR (OK)

General Dynamics Information Technology; United States; Remote; USD 24.000 - 32.000; Vollzeit

Zusammenfassung

The Benefits Coordination and Recovery of Call Center Customer Service Representative (CSR) supports Medicare beneficiaries, authorized representatives, employers, insurers, healthcare providers, and other stakeholders with questions related to other health insurance coverage and Medicare’s payment responsibility.

The CSR reviews and updates beneficiary insurance information, helps determine the appropriate order of payment, and explains Medicare Secondary Payer (MSP) requirements.

Qualifikationen

• 0+ years of related experience in call center, healthcare, or health insurance.
• Must be able to type 20 WPM, 30 WPM preferred.
• Ability to explain insurance and Medicare information clearly.
• Ability to work remotely from Oklahoma City, OK.

Aufgaben

• Handle inbound calls concerning Medicare COB and MSP matters.
• Assist beneficiaries, authorized representatives, employers, insurers, providers, attorneys and other approved callers.
• Collect, verify, research, and update other health insurance information, including Employer group health plan coverage and non-group health plan coverage.
• Apply approved Medicare Secondary Payer rules and procedures to determine whether Medicare may pay primary or secondary.
• Accurately enter and update insurance records, call details, and supporting information.
• Protect personally identifiable information and protected health information per HIPAA and privacy/security requirements.
• Meet established standards for quality, attendance, and schedule adherence.
• Complete required training and remain current on Medicare COB and MSP program updates.

Kenntnisse

Call Center

Customer Service

Medicare

Ausbildung

High School Diploma or equivalent

Bachelor’s degree preferred

Jobbeschreibung

The Benefits Coordination and Recovery of Call Center Customer Service Representative (CSR) supports Medicare beneficiaries, authorized representatives, employers, insurers, healthcare providers, and other stakeholders with questions related to other health insurance coverage and Medicare’s payment responsibility.

The CSR reviews and updates beneficiary insurance information, helps determine the appropriate order of payment, and explains Medicare Secondary Payer (MSP) requirements.