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Claims Customer Service Rep

Company: Beacon Health Options
Location: Wixom
Posted on: March 29, 2020

Job Description:

Beacon Health OptionsJob Category: Operations - Customer Service GeneralReq #: CLAIM02341Schedule: Full TimeLocation: MI - WixomWe 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.
    What you Contribute?

    Education: High school diploma or equivalent required. Claims/billing certification from an accredited business institution preferred.

    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/Disabled

          At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.



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          PI119034332

Keywords: Beacon Health Options, Detroit , Claims Customer Service Rep, Sales , Wixom, Michigan

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