Claims Customer Service Representative I

About the Opportunity Help Virginia Premier be a leader in the Health Services industry by acting as the Claims Customer Service Representative I who handles all incoming provider calls quickly and efficiently. This position ensures provider claims issues are resolved within 24 to 48 hours, identifies calls/issue trends, educates providers to avoid continuing trends, and prepares productivity reports.

Qualifications

Knowledge of CPT-4 coding, ICD-9, and various types of medical claims.

Experience providing excellent verbal and written customer service communication with ability to interact professionally with providers and resolve their problems.

Minimum 1 year experience in medical field and 1 year claim processing experience.

Benefits We offer unlimited potential for motivated professionals, great compensation, and full benefits including 401K, dental insurance, medical insurance, disability benefits, life insurance, paid sick time, paid company holidays, and paid vacations. About the Company Our established health plan has proven to be very successful, and many of the thrills of working at a growing company exist. We balance our stability with our flexibility and openness to new challenges. We are dedicated to serving low-income and underserved populations and improving the health of our members. What makes Virginia Premier Health Plan, Inc. successful is our commitment to the members and providers we serve and our drive toward operational excellence.

*The Company is an Equal Opportunity Employer. Local applicants encouraged to apply. No faxes please.