Company Overview
Founded in 1974, Certified is one of the largest and most experienced
providers of temporary, temp to hire, and direct hire staffing solutions.
We help businesses improve their financial results through our expertise
in identifying, locating, and evaluating talent.
At Certified, we believe quality originates and concludes with every
employee working synergistically together to help accomplish our customer’s
goals. We strive towards our commitment to do the job right the first
time, every time. Clients view Certified as a business partner rather
than a resource by the way our team lives our vision, mission and values.
Certified
has made a commitment to each of our clients and employees to remain
confidential as well as attentive to all needs. We are excited about
the potential this relationship represents for You as a client and
for Certified as your Partner. We look forward to working together
and we take this responsibility seriously.
Job Description
CALL CENTER/ CUSTOMER SERVICE for the Medical Industry
Customer help call center experience necessary, medical background,
Long Term Care heavitly preferred
CLAIMS SUPPORT/PROCESSOR - Long Term Care
•Knowledge
of Long Term Care insurance, knowledge of Home Health Services and
nursing home admits, above average customer service/phone skills,
computer skills, research skills, etc.
•
JOB SUMMARY: Assist team in processing existing LTC (Long
Term Care includes Nursing Home, Assisted Living, Adult Day Care and
Home Health Care) claims as well as providing team support. Ability
to interpret contract benefits in accordance with specific claims
processing guidelines. Receive, organize and make daily use of information
regarding benefits, and contract coverage, through verbal or written
correspondence in a professional and reliable manner.
•Job
Requirements
• Team centered with excellent work ethic and reliability required.
• Ability to assist team in various clerical and claim support
matters.
• Medical terminology a plus, insurance experience a must.
• Previous experience in Home Health industry (CNA, HHA, RN,
LPN) a plus.
• Previous LTC claims adjudication experience a plus.
• Must have above average phone skills.
• Must have organizational and decision making skills.
• Ability to work independently and exhibit flexibility in performing
multiple functions.
• Ability to calculate figures accurately.
• Clear understanding of the policy benefits and procedures
within the Claims unit.
• Must be able to manage time effectively with written correspondence,
faxes, and referrals from other departments in order to comply with
service guarantees.
• Exhibit flexibility in performing multiple functions
• Good PC application skills (Word + Excel + MS Office), good
keystrokes
Tags: Admin
& Clerical : Banking
Jobs : Financial
Services Jobs
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