VBC Customer Services Representative I

About the position

Responsible for answering incoming calls from providers, health plan and members as they relate to eligibility, benefits, claims, coverage, and authorization of services. This position will also problem-solve and explain programs and procedures to callers and will answer/address claim payment questions with providers.

Responsibilities

• Answering incoming phone calls via ACD phone system
• Retrieve Voice Mails
• Provide eligibility, benefits, claim, and referral status depending on the queue on which they serve
• Assist in resolving issues for providers as they relate to claims, authorization and eligibility inquiries

Requirements

• 1-3 years of customer service experience in a call center and or health care environment preferred
• High school degree or equivalent required, bachelor's degree preferred
• A strong sense of responsibility for providing a great customer experience
• Detail-oriented and highly organized
• Excellent verbal and written communication skills
• Excellent organization skills with ability to handle multiple tasks and prioritize work
• Knowledge of CPT, ICD-10, HCPCS codes, HCFA1500 and UB04 billing forms

Benefits

• Medical, dental, vision, disability, and life insurance
• Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked
• 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance
• For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act