Job description
GE Healthcare provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, they empower health and wellness by meeting its members where they are, when they need care.
Duties and Responsibilities
- Responds to inquiries which may include telephone, chat or internet from members and providers concerning verification of coverage, claims and benefits
- Provides information concerning the completion of forms and submission of claims
- Assists customers in locating participating providers in specified areas. Additionally, provides written lists when requested
- Documents inquiry records
- Able to adapt to change
- Attend 100% of scheduled training and uptraining
- Ability to learn and apply claim handling skills
- Effective listening skills
- Other duties as assigned
Education and Experience
- Requires High School Diploma or equivalent
- Requires 2 years of experience in ONE of the following areas:
- Call Center Representative in an Inbound or Outbound Call Center
- Medical billing/coding work experience in a hospital or doctors office
- Dental claims billing/coding medical experience
- Work experience as a chair-side dental assistant
- College experience equivalent to 60 hours
- Requires ability to learn and effectively navigate multiple systems and applications efficiently
- Requires effective verbal, written and interpersonal communication skills.
- Requires strong analytical and problem-solving skills.
- Must have the ability to provide a non-cellular high speed internet service such as Fiber, DSL, or cable modems for a home office.
- Hotspots, satellite and wireless internet service is NOT allowed for this role.
- A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required.
- A dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information
- Sit for the majority of the workday, adhering to set work schedule, scheduled breaks and lunch
- Responds to members/customers questions in a timely manner
- Navigates through various sources of information and systems
- Work effectively in a team environment
Conditions of Employment:
- Successful completion of prehire testing
- Successful completion of background check is required for this position.
- Must be able to provide proof of education such as high school diploma, GED, or college transcripts
- Must be able to provide proof two valid, in date forms of ID
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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