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Member Services Representative
Alliance Resource Partners
Tulsa, USA
Full-time
Junior · 1+ years experience
Onsite
Discovered 3 days ago
Full Job Posting
Education and experience:
- At least 1 years of experience in a healthcare or medical insurance customer service role with direct payment and provider contact preferred.
- Required
- Outstanding customer services skills.
- Excellent listening skills with the ability to interpret and understand underlying issues and unasked questions.
- Familiarity with medical claims processing, denials and appeals process in a health care plan environment.
- Knowledge of health care customer service, Health Plan and regulatory requirements and provider dispute and/or member appeal process.
- Knowledge of CPT/HCPC, ICD9/10 coding, procedures and guidelines helpful.
- Excellent vocabulary, grammar, spelling, punctuation, and composition skills proven through the development of written communication.
- Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) and fraud and abuse prevention detection policies and procedures
- Ability to establish and maintain positive and effective working relationships with coworkers, plan members and providers.
Preferred Qualifications
- Strong computer skills and familiarity with Microsoft Office required and cloud-based file storage systems preferred.
- At least 1 years of experience in a healthcare or medical insurance customer service role with direct payment and provider contact preferred.
About Alliance Resource Partners
Energy3700 employeesFounded 1971
Produces coal and manages oil and gas royalties.
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