Healthcare Customer Service Representative
US Tech Solutions, Myrtle Beach, SC, United States
Job Title
Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Responds to written and/or telephone inquiries according to desk procedures.
Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. Responds to written and/or telephone inquiries according to desk procedures.