Lumeris Healthcare
Position Summary
As a Customer Service Associate, you will directly respond to questions, provide guidance on transactions, inquiries, and complaints from both members, external customers, and providers.
Role and Responsibilities
- Respond to complex customer calls.
- Resolve customer service inquiries which could include:
- Benefit and Eligibility information
- Billing and Payment issues
- Customer material requests
- Physician assignments
- Authorization for treatment
- Explanation of Benefits (EOB)
- Must be able to handle volatile situations and act urgently when necessary.
- Must be willing and able to work flexible hours, including some weekends during specific times of the year and overtime when needed.
- Makes outbound calls to any source needed to resolve open issues including but not limited to members, providers, pharmacies, hospitals, etc.
- Issue letters and forms when appropriate.
- Investigates and responds to general correspondence, which may result in a variety of additional actions.
- Must have strong investigative, problem-solving skills.
- Must be very detailed oriented and organized.
- Ability to read and comprehend instructions in a very changing environment.
- Ability to interact with other departments in resolving issues.
- Familiarity with computer and Windows PC applications, including the ability to learn new and complex computer system applications.
Experience, Qualifications, and Education
- High school diploma or general education degree (GED).
- Minimum of 2 years healthcare/insurance experience.
- Proficiency in all Microsoft Office Programs, including Word, PowerPoint, and Excel.
- Ability to type 30-45 wpm.
- Prior customer service & claims adjudication experience in the healthcare field along.
Position Scheduling Details
- Department hours are 7:00 A.M. CT – 10:00 P.M. CT. Shifts are eight hours and schedules are assigned and confirmed once new hires have completed training. Schedules will change approximately every three months.
- Training goes for 4-6 weeks and is Monday – Friday, 8:00 A.M. – 4:30 P.M. CT. This is followed by two weeks of shadowing and several weeks of nesting.
- During open enrollment in October to March, the department is open every day of the week and representatives rotate on a planned weekend schedule.
Lumeris is an EEO/AA employer M/F/V/D.
Apply Here: https://lumeris.wd1.myworkdayjobs.com/en-US/LC/job/Missouri/Customer-Service-Associate–Remote—Nationwide-_R0005283
Life at Lumeris:
Lumeris is changing the healthcare industry. Every employee within our organization plays an important part in that.
In every department and every role, we offer strong opportunities for professional advancement and growth.
We’ve created a set of guiding principles that impact everything we do. These principles define our interactions with each other and inspire the way we live and work within the organization each day.
- Act like an owner
- Do the right thing
- Stay excited
- Keep learning
- Work together
Job Type: Full-time
Pay: $16.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
- Overtime
- Weekend availability
Supplemental Pay:
- Bonus pay
Education:
- High school or equivalent (Required)
Work Location: Remote