Job Type: (Full-time)
At Concentrix we are fanatical about our staff and clients. We are tenacious in our pursuit of excellence and of high quality service. We’re not afraid of being bold and disruptive in the marketplace and we like shaking things up. We take our values seriously and they are threaded into everything that we do - we are ONE CONCENTRIX. Join us and BE the Difference for the world’s best brands!
Career Description/Summary: We are currently looking for a bold and tenacious Customer Care Representative. This account collaborates with a client that provides managed care services exclusively for government sponsored healthcare programs with an emphasis on Medicaid and Medicare.
Concentrix Daleville assists by performing back office healthcare claims support in the areas of claims adjudication and adjustment.
Manual processing of institutional and professional Medicaid and Medicare claims
Process claims accurately and timely as determined by client with minimal to no financial or procedural errors
Complete assigned tasks to required levels of efficiency and effectiveness as mandated by client
Keep updated with changes in Standard Operating Procedures
Provide excellent customer service by processing transactions accurately
Ensure that any exceptions in processing are dealt with effectively, appropriately tracked, and resolved or escalated as needed
Identify and escalate continuous improvement opportunities (Best Practices) to improve process and efficiency
What we are looking for:
100% back office. No voice support is required.
Health claims experience a preferred
Attention to detail is key
Keyboard skills are critical to navigate through web-based tools, screens and data fields, both quickly and accurately. 40 wpm preferred.
Numerical ability, critical thinking, ability to interpret insurance contracts
Good written communications (documenting notes, pend queue comments)
Ability to work with minimal supervision
Good problem-solving, analytical and data entry skills a must
Moderate computer, PC and internet skills
Minimum H.S. diploma
What we offer:
Concentrix provides our associates with:
· Career Pathing and Advancement Opportunities
· Competitive salary
· Monthly performance incentives
· Health insurance (Eligibility requirements must be met)