Customer Service Representative (Medical Billing/Insurance)

Company: Cognizant Technology Solutions
Location: Plano
Posted on: January 12, 2021

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