1–3 years of experience in the Health Insurance industry preferred.
1–3 years of customer service experience required.
Claims payor experience preferred but not required.
Requirements:
Answer incoming calls from providers and members.
Provide eligibility, claims, and authorization status information.
Collaborate with internal and external partners to resolve issues related to claims payment, authorizations, and eligibility inquiries.
Create, track, and complete Customer Service Incidents for internal departments to resolve caller issues.
Job description
APN Consulting, Inc. is a progressive IT staffing and services company offering innovative business solutions to improve client business outcomes. We focus on high impact technology solutions in ServiceNow, Fullstack, Cloud & Data, and AI / ML. Due to our globally expanding service offerings we are seeking top-talent to join our teams and grow with us.
Direct Client Requirement Job Title: Customer Service Representatives Contract: 2.5 Months Contract (Part Time) Location: Remote
Job Summary
The Customer Service Representative provides support to providers and members by answering calls regarding insurance eligibility, benefits, claims, and service authorizations.
Duties & Responsibilities
Answer incoming calls from providers and members.
Provide eligibility, claims, and authorization status information.
Retrieve voicemails and respond in a timely manner.
Collaborate with internal and external partners to resolve issues related to claims payment, authorizations, and eligibility inquiries.
Create, track, and complete Customer Service Incidents for internal departments to resolve caller issues.
Participate in identifying and resolving root causes for recurring issues.
Ensure customer needs and concerns are communicated and managed effectively to maintain strong customer relationships.
Apply customer service best practices to ensure a positive experience.
Meet daily, weekly, and monthly performance metrics.
Perform other duties as assigned.
Education & Professional Experience
High School Diploma or GED required.
1–3 years of experience in the Health Insurance industry preferred.
1–3 years of customer service experience required.
Claims payor experience preferred but not required.
Professional Competencies
Strong verbal and written communication skills.
Organized with the ability to prioritize and meet deadlines.
Able to work independently with minimal supervision.
Comfortable working in a fast-paced or high-pressure environment.
Understanding of regulatory and compliance requirements.
Results-oriented and detail-focused.
Positive attitude and accountability.
Team-oriented mindset.
We are committed to fostering a diverse, inclusive, and equitable workplace where individuals from all backgrounds feel valued and empowered to contribute their unique perspectives. We strongly encourage applications from candidates of all genders, races, ethnicities, abilities, and experiences to join our team and help us build a culture of belonging.
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