Claims Customer Service Representative
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Job Description
Remote claims customer service representative handling health insurance benefits and claims for TEKsystems’ financial client. Processing calls, claim documentation, coding, and acknowledgements accurately.
Responsibilities:
- Handle an average of 40–50 customer service calls per day
- Provide timely, accurate, customer-focused benefit and claim information
- Solicit and enter information required to accurately and promptly process claims
- Record detailed summaries of exchanged information in the claim system
- Issue timely and accurate claim acknowledgement correspondence
- Process incoming documents with high coding integrity and distribute them immediately
- Work for a financial client through TEKsystems
Requirements:
- Supplemental health claims experience
- Knowledge of CPT/HCPCS/REV/ICD-10 codes and provider/facility insurance billing forms
- 1–2+ years of experience within health insurance claims and benefits, particularly Scheduled Accident, Critical Illness, or Hospital Indemnity
- 1+ year of call center experience; remote call center experience preferred
- Ability to read medical claims forms, including HCFA 1500 and UB04
- Understanding of medical records and EOBs helpful
- Knowledge of CPT codes helpful
- Ability to work Monday–Friday, 10:30 a.m.–7:00 p.m. CST
Benefits:
- Medical, dental & vision
- Critical Illness, Accident, and Hospital coverage
- 401(k) Retirement Plan with pre-tax and Roth post-tax contributions
- Voluntary Life & AD&D insurance 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)
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