VBC Customer Services Representative I - Remote

Conifer Health Solutions; Frisco (TX); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare solutions provider is seeking a VBC Customer Services Representative I to assist callers with eligibility, benefits, claims, and authorization services. This remote position requires strong communication and organizational skills, along with 1-3 years of customer service experience, particularly in a healthcare environment. Conifer Health Solutions offers competitive pay and a benefits package designed to support personal and professional growth.

Benefits

Medical, dental, vision insurance

401k with up to 6% employer match

Paid time off and holidays

Employee Assistance program

Qualifications

• 1-3 years customer service experience in call center or healthcare.
• High school degree or equivalent required.
• Detail-oriented, excellent communication skills.

Responsibilities

• Answer incoming calls from providers, health plan and members.
• Assist in resolving issues for providers regarding claims, authorization, and eligibility inquiries.
• Provide eligibility and benefits information.

Skills

Customer experience

Detail-oriented

Communication skills

Organizational skills

Education

High school degree or equivalent

Bachelor’s degree preferred

Job description

VBC Customer Services Representative I - Remote

Join to apply for the VBC Customer Services Representative I - Remote role at Conifer Health Solutions

VBC Customer Services Representative I - Remote

Join to apply for the VBC Customer Services Representative I - Remote role at Conifer Health Solutions

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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 they serve
• Assist in resolving issues for providers as they relate to claims, authorization and eligibility inquiries
  
  

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

Include the following. Others may be assigned.

• Answering incoming phone calls via ACD phone system
• Retrieve Voice Mails
• Provide eligibility, benefits, claim, and referral status depending on the queue on which they serve
• Assist in resolving issues for providers as they relate to claims, authorization and eligibility inquiries
  
  

Knowledge, Skills, Abilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

Education / Experience

Include minimum education, technical training, and/or experience preferred to perform the job.

• 1-3 years of customer service experience in a call center and or health care environment preferred
• High school degree or equivalent required, bachelor’s degree preferred
  
  

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Must be able to work in sitting position, use computer and answer telephone
  
  

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Office Work Environment
  
  

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

Compensation

Compensation and Benefit Information

• Pay: $14.50 - $21.80 per hour. Compensation depends on location, qualifications, and experience.
• Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
• Conifer observed holidays receive time and a half.
  
  

Benefits

Conifer offers the following benefits, subject to employment status:

• Medical, dental, vision, disability, and life insurance
• Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
• 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
• For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.
  
  

2503004565

Employment practices will not be influenced or affected by an applicant’s or employee’s 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.

, $14.50 - $21.80 hourly **Individual wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care and Medical Practices

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