New 
Insurance Call Center Representative
 TEKsystems | |
$20.00 - $26.00 / hr
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medical insurance, life insurance, sick time, 401(k), retirement plan
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 United States, Maryland, Rockville | |
 Jan 22, 2025 | |
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*Description*
Working with members to walk through, answer questions, and collect via their insurance plan. Obtain and maintain a working knowledge of the basic plan provisions and multiple benefit schedules, as well as a clear understanding of the eligibility system, claim system, and the Reciprocity system (ERTS). Respond timely and accurately to phone calls, e-mail, walk in participants, and correspondence by answering questions; explaining claim payments and claim denials; quote self-payment amounts; verify eligibility and/or benefits; research eligibility or claim issues; update eligibility with outside vendors. Questions from an Insurance Perspective - Explain the difference between PPO and non-PPO - What are ICD-10 codes called? - Example question: A company has 140 eligibility requirements for insurance but the person only has 84 hours the rate is $8.10 calculate how much the person would need to pay for insurance How would you explain a deductible to a patient? - What is the patients liability on a claims form which would be co insurance, deductible and co pay? - What is COB mean? EOB? Example Question: What option below protects a patient: Cobra-ACA-HIPPA *Skills* Customer service, insurance, Call center, insurance claim, claims processing, Customer support, Customer service oriented, Administration, Customer service skills *Additional Skills & Qualifications* * 1+ years of call center experience in a medical billing or medical insurance call center environment or 1+ years of processing medical claims * Bilingual speaking candidates strongly preferred * Must type 40 wpm * Dependability - ensures timely arrival and consistent attendance to support the achievement of the team's goals. *Pay and Benefits* The pay range for this position is $20.00 - $26.00 Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) *Workplace Type* This is a fully onsite position in Rockville,MD. *Application Deadline* This position will be accepting applications until Jan 24, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. | |