Commercial Health Customer Service Representative

About this role

Roles and responsibilities Research, review, and respond to inbound and outbound member and provider inquiries (benefits, eligibility, claims, billing); resolve at first contact Meet turnaround, quality, AHT, ASA, and schedule metrics Interpret and explain plan benefits, eligibility, cost-sharing, and claims decisions using CPT, ICD-10, HCPCS, and Revenue Codes Support providers (claim status, prior auth, payment The post Commercial Health Customer Service Representative appeared first on Jobspresso .

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