LaSalle Network is partnering with a growing healthcare organization, seeking to hire a Customer Experience Representative to support their client service and claims team.Work Model: Hybrid, 2 days...[show_more][last_updated.last_updated_variable_days]
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[job_card.full_time]
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[job_card.full_time]
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[job_card.part_time]
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[job_card.full_time] +1
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LaSalle Network is partnering with a growing healthcare organization, seeking to hire a Customer Experience Representative to support their client service and claims team.
Work Model: Hybrid, 2 days remote, 3 onsite Location: Naperville, IL Compenstaion: $20-$24/hr pending expereince Benefits: Medical/Dental/Vision
Summary This role is responsible for assisting members, providers, brokers, and administrators with dental claim inquiries while ensuring accurate claim processing and a high level of customer service.
Responsibilities
Provide excellent customer service by responding to verbal and written inquiries from subscribers, providers, brokers, and group administrators
Handle 80 – 100 inbound calls
Troubleshoot and resolve dental claim-related questions and concerns
Process claims adjustments during customer calls and throughout the workday
Review and process claim that require manual review after failing automated system edits
Maintain and track documentation related to adjustment requests, check investigations, overpayment letters, and electronic forms
Complete daily logs, reports, and documentation accurately and on time
Support special projects and administrative tasks as assigned
Assist with training and supporting new team members as needed
Follow company policies and guidelines related to Electronic Protected Health Information (EPHI)
Maintain consistent attendance, punctuality, and performance standards
Provide feedback to leadership and team members to help improve processes and team performance.
Qualifications
High School Diploma or equivalent required
Strong customer service and problem-solving skills
Excellent verbal and written communication skills
Strong computer and data entry skills, with the ability to work in a call center or ACD environment with performance goals
Knowledge of insurance reimbursement processes, including deductibles, maximums, coordination of benefits (COB), and dental terminology
Ability to manage multiple tasks and work independently in a fast-paced environment
Strong organization skills and attention to detail.