Claims Processing Specialist / Healthcare Medical Claims

Job Title: Client Relationship Manager / Medical Claims Processing

Job Location: Baltimore, MD (Remote)

Job Duration: 10 Months CTH

Rate: $20-22/hr.

Important Notes:

This person will be directly working with HR Manager pertaining to ID cards, claims issues, identifying, assessing, and responding to service questions pertaining to claims, billing, benefits enrollment.

5 years with medical customer service involvement

1-2 medical claims processing background

Do not need a Salesperson here, need a customer engineer background with Healthcare claims is a must

This position is a critical resource for large accounts within the Account Management Team providing day to day expertise on benefit administration and serves as the primary client contact for service issue resolution. Builds and cultivates effective long-term relationships and a high level of satisfaction with client HR staff, Brokers, and Consultants assigned to major strategic clients. Maintains an in-depth knowledge of products, operational procedures, and regulatory compliance, promoting customer trust, satisfaction, and loyalty.

Acts as the primary point of contact for client’s HR staff, identifying, assessing, and responding to service questions, while providing personalized, comprehensive, and timely verbal and/or written answers. Demonstrates independent thinking and flexibility while servicing account’s requests related to benefit administration, enrollment, billing, claims, operating procedures, and regulatory compliance.

Applies superior communication, analytical, and problem-solving skills to resolve or triage inquires to the respective business partners within the company. Responsible for documenting, tracking, coordinating, and closing issues and communicating results back to client.

Builds and maintains an active and strong cultivated relationship with client, acting as a trusted advisor