Customer Service Representative (Medical Billing/Insurance)
Company: Cognizant Technology Solutions
Location: Plano
Posted on: January 12, 2021
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Job Description:
Job Title : Customer Service Process Executive/Sr Process
Executive ESSENTIAL FUNCTIONS Responsible for inbound phone
inquiries primarily dealing with either:Member benefits and
eligibility related to the HMO, EPO/PPO, Medicare and Medicaid, CHP
and FHP product lines or Provider benefits, eligibility, PEP and
claim status, member pharmacy calls, utilizing prior approval
skills (ACP/DME and CCD) and placing outbound calls on a routine
basis. Resolve issues with respect to benefits and eligibility by
researching documentation, system information or gaining knowledge
from other employees, management or departments. Interact with
customers, document call specifics and demonstrate quality program
behaviors to create an outstanding relationship with each caller.
Work with outside vendors as needed to answer questions or resolve
issues. Respond to member correspondence/email in writing utilizing
an existing CSS system letter to effectively respond to members.
Conduct orientation to new members by providing an overview of the
member's plan and pertaining administrative policy. SECONDARY
RESPONSIBILITIES Demonstrate awareness, motivation, and technical
skills to assist in the development and growth of the customer
service teams and help to identify process improvements. Assist in
department/company projects, as needed, i.e. provide feedback about
the customer's experience. EDUCATION and EXPERIENCE Must have
completed at least 2 years of College (without back subjects) and
healthcare insurance experience is a plus. Must be computer
literate and able to multi-task - i.e. document call experience
while using the Quality Program. Excellent communication and
interpersonal skills. Must be legally authorized to work in the
United States without the need for employer sponsorship, now or at
any time in the future. IND123 Employee Status : Full Time Employee
Shift : Day Job Travel : No Job Posting : Jan 04 2021 About
Cognizant Cognizant (Nasdaq-100: CTSH) is one of the world's
leading professional services companies, transforming clients'
business, operating and technology models for the digital era. Our
unique industry-based, consultative approach helps clients
envision, build and run more innovative and efficient businesses.
Headquartered in the U.S., Cognizant is ranked 194 on the Fortune
500 and is consistently listed among the most admired companies in
the world. Learn how Cognizant helps clients lead with digital at
www.cognizant.com or follow us @USJobsCognizant. Cognizant is
recognized as a Military Friendly Employer and is a coalition
member of the Veteran Jobs Mission. Our Cognizant Veterans Network
assists Veterans in building and growing a career at Cognizant that
allows them to leverage the leadership, loyalty, integrity, and
commitment to excellence instilled in them through participation in
military service. Cognizant is an equal opportunity employer. All
qualified applicants will receive consideration for employment
without regard to sex, gender identity, sexual orientation, race,
color, religion, national origin, disability, protected Veteran
status, age, or any other characteristic protected by law. If you
have a disability that requires a reasonable accommodation to
search for a job opening or submit an application, please email
CareersNA2@cognizant.com with your request and contact
information.
Keywords: Cognizant Technology Solutions, Plano , Customer Service Representative (Medical Billing/Insurance), Other , Plano, Texas
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