Customer Service Specialist Healthcare - PayerFusion

PayerFusion is looking for an efficient and personable Customer Service Specialist to work in rapidly growing healthcare Third Party Administrator. Please join a team of excellence and reward. Spanish is a plus but not required.

PayerFusion's innovative TPA services utilize the latest medical claim processing technology coupled with our unique healthcare cost containment methodologies to provide you with the sharpest advantage possible

Responsibilities:

• Main responsibilities will be liaising between providers and insurance companies to provide excellent service to insured members.

• Must be quality driven and a self-starter that is responsible and with excellent follow up skills.

• Excellent communications skills via email and telephone (must be proficient in good telephone use and etiquette skills) to communicate with clients and interact with medical providers and our in-house case management department.

• Must be proficient in all functions of computer office use including Microsoft Excel, Outlook, Teams and other day to day software tools.

• Must be fully proficient in the use of the English language- written and spoken communication.

Requirements:

• We prefer someone with ICD 10 and CPT 4 knowledge and an understanding of the healthcare forms (UB 04 and CMS 1500).
• Must have previous medical field expertise in working in a health insurance company or HMO plan with authorizations, patient referrals and or customer service sales.

Bonus Points:

• We provide excellent health, dental insurances, vision and 401K benefits.
• We also provide of time off during the year (vacation/sick and holiday) and a pleasant working environment.