20 Oct
CLAIMS CSR-Wixom Union
Tennessee, Memphis 00000 Memphis USA

Vacancy expired!

Description SHIFT: Day JobSCHEDULE: Full-timeWe Help People Live their Lives to the Fullest Potential!For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a ‘world-class’ candidate experience from the moment you click ‘Apply’! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise.Do you have a passion for helping others? If so, we are looking for you!Beacon is currently seeking a Claims Customer Service Representative to join our team at our Wixom, MI office. This position will be responsible for answering verbal and written customer/member/provider inquiries including questions regarding benefits, eligibility and certifications. Primary concentration on responding to claims inquiries and resolving problems.What does a typical day look like?Interface with external and internal customers to ensure optimal efficiency of service. Address concerns of dissatisfied and or angry customers/members/providers in a diplomatic manner. Respond to customer inquiries professionally and efficiently. Educate, inform and provide guidance to members/providers/customers/co-workers regarding the claims process.

Resolve in a timely manner customer/member/provider claims issues through investigation and problem solving. Process related adjustments timely. Follow-up on inquiries as needed, referring problems to other appropriate Beacon Health Options personnel as identified. Keep all parties updated throughout the process.

Document all inquiries and complaints, including their resolution, appropriately in ServiceConnect. Work all open inquiries daily until resolved.

Communicate the correct procedure for submitting claims so that the claim can be successfully processed. Explain the payment or denial results accurately as necessary to foster an understanding.

Contribute to overall success of the claims department in meeting performance guarantees to customers and maintaining customer standards. Ensure that established work processes are followed accordingly.

Knowledge, Skills & Abilities:Must have knowledge and experience using management information systems and software; CAS or other computerized claims processing system, word processing and spreadsheet applications (Microsoft Word and Excel).

What Makes Us Different?Here, it’s not just a job – it’s an opportunity to change lives.

Our employees are learners, innovators and original thinkers.

Our mission and values guide the way we treat our members, providers and each other.

What We Have to Offer:Healthcare, Dental, Vision plans and more

Health & wellbeing incentives, such as gym membership reimbursement

401K to help reach your future financial goals

Generous PTO, because we know life happens outside of work

Tuition reimbursement so you can keep reaching your fullest potential

If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started!Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/DisabledQualifications Education: High school diploma or equivalent required. Claims/billing certification from an accredited business institution preferredREQNUMBER: PS40461

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