Customer Services Representative
Job Location:
Jacksonville, FL - USA
Monthly Salary:
Posted on:
Vacancies:
Job Summary
Nemours is seeking a Customer Service Rep in Jacksonville FL
Answering incoming calls from guarantors and insurance companies for provider and hospital related questions. Resolution of guarantor and/or insurance company questions and issues in accordance with established guidelines and procedures. Provide excellent customer service at all times ensuring each contact is a uniquely satisfying experience for the caller.
Essential Functions
Answer incoming calls from guarantors and insurance companies in a high pressure call center
Research and resolve issues for guarantors insurance companies and our internal customers.
Perform necessary account maintenance functions verify demographics update guarantor
information and fulfill the customer or insurance companies requests.
Verify and process insurance coverage information perform insurance adjustments and/or
change the insurance filing order as needed.
Review and analyze balances (credit or debit) to determine if the guarantor or insurance owes
additional money or if a refund is due.
Establish payment plans set-up recurring payments and transfer guarantor funds as needed to
clear any outstanding guarantor balances. Troubleshoot issues with the online payment portal for
guarantors.
If resolution is not possible by the Customer Service Representative the issue will be escalated
as appropriate.
Perform annual required system upgrade and computer based training
Thorough knowledge of insurance payors (Commercial Government HMO/PPO and Indemnity)
preferred
Requirements
- High School Diploma
- 1-3 years healthcare experience preferred
Required Experience:
Unclear Seniority
About Company
Nemours Children’s Health is an internationally recognized children’s health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children’s hospitals — Nemours Children’s Hospital, Delaware an ... View more
