Position Location: 100% remote
Responsibilities include but are not limited to:
- Answer inbound calls from provider offices regarding patient-related services such as pricing for Reference Based Pricing claims both Pre-Service and Post Service.
- Accurately input, update and maintain data into SalesForce, requiring strong attention to detail, excellent typing and the ability to handle sensitive information with confidentiality.
- Perform high volume of triaging of emails and voicemails.
- Seeking to understand the context behind the provider's call by probing for information to understand the provider's questions or support needs in order to ensure first call resolution;
- Navigating and engaging multiple systems, and pulling the puzzle pieces together to resolve provider questions, complex issues and requests;
- Offering guidance to providers regarding their patient's denials and appeals processes;
- Navigating and providing input to policies, systems, methods, and procedures for the effective management of key business processes;
- Respond promptly to third party administrators (TPAs), clients and providers.
- Assist with handling incoming and outgoing USPS mail (if local)
- Professionally communicate with customers, TPA's and clients through various channels.
- Clearly communicate and coordinate with colleagues and other departments as necessary.
- Consistently meet established productivity goals and quality standards.
- Adhere to HIPAA guidelines and regulations.
- Performing other relevant tasks, as needed
- Other projects and duties as assigned by Manager or Director.
Required Experience/Education:
- High School Diploma or equivalent
- 2+ years in an office and customer service environment preferred.
- Experience in delivering client-focused solutions based on customer needs
- Proficiency in Microsoft Outlook, Microsoft Word, Excel and internet navigation
- Prior work experience with Salesforce preferred.
Skills and Abilities:
- Excellent customer service skills
- Excellent written and verbal communications skills including active listening skills. Ability to take notes simultaneously while on calls.
- Data entry skills.
- Ability to handle large volumes of repetitive tasks with tight deadlines.
- Demonstrate ability to work in a fast paced environment while maintaining accuracy and production requirements
- Extremely detail-oriented and possess the ability to prioritize workload.
- Proficient in computer and typing skills.
- Working knowledge of photocopier and scanning machine.
- Proficient in Outlook and Microsoft Office applications.
- Ability to multi-task and thrive in a fast-paced entrepreneurial company.
What can Imagine360 offer you?
- Multiple Health Plan Options, including an employee paid premiums
- Company paid employee premiums for Dental, Vision, STA, & LTD, plus Life Insurance
- Parental Leave Policy
- 20 days PTO to start / 10 Paid Holidays
- Tuition reimbursement
- 401k Company contribution
- Professional development initiatives / continuous learning opportunities
- Opportunities to participate in and support the company's diversity and inclusion initiatives
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Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.
Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
**RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**
