TriWest Healthcare Alliance

Claims Call Center Representative

Recruiting Location Phoenix, AZ
ID 2020-3068

Overview

This Position is located in Phoenix, AZ

Claims Call Center Representative  at TriWest Healthcare Alliance

 

Taking Care of Our Nation’s Veterans.

It’s Who We Are. It’s What We Do.

 

Do you have a passion for serving those who served?

 

Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!

 

Our job is to make sure that America’s heroes get connected to health care in the community.

 

At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.

 

Are you our next Claims Call Center Rep?

Responsibilities

TriWest Claims Call Center Rep:

 

Handles inbound phone calls from Providers, VA, and other customers. Reviews claims and responds to billing questions. Provides updates on claim status, including notification that claims are in process, pending for more information, and denied. Works in a detailed, fast-paced, and repetitive production environment. Interacts with customers in a professional, formal manner where the focus is on completing the task pleasantly and with high quality and accuracy.

  • Utilizes various software applications in use at TriWest
  • Understands procedures and processes of the VA program
  • Answers inbound calls from providers in a timely manner
  • Answers questions related to the status of providers’ claims
  • Conducts basic claims history research to answer provider questions
  • Documents all communications involving provider contacts
  • Escalates complex claims issues for further review
  • Consistently displays professional customer service skills to internal and external customers
  • Protects the privacy of health information of patients when using or disclosing Protected Health Information (PHI). PHI is any information about health status, or healthcare services that is linked to an individual
  • Takes appropriate measures to comply with HIPAA regulations to protect privacy of beneficiaries' health information
  • Consistently meets department productivity and performance metrics
  • Performs other duties as assigned
  • Regular and reliable attendance is required

Qualifications

Are you qualified?

  • Are you a Veteran, family member of a Veteran, a friend of a Veteran, or passionate about helping Veterans?
  • Do you have your High School diploma or G.E.D?
  • Do you have 1+ year of healthcare claims, billing or related healthcare experience?
  • Do you have Good communication skills?
  • Do you have Call center or customer service experience?
  • Are you Proficient with Outlook, Microsoft Excel, the Internet and on-line systems?

Preferred

Do you have 1+ Years College or equivalent experience?

Do you have 1 year call center or customer service experience?

Do you have Knowledge of medical claims processing/review?

Do you have Knowledge of medical terminology?

 

 

More about Working at TriWest Healthcare Alliance

We’re more than just a health care company. We’re passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

  • Medical, dental and vision coverage
  • Generous paid time off
  • 401(k) Retirement Savings Plan (with matching)
  • Short-term and long-term disability, basic life, and accidental death and dismemberment insurance 

Equal Opportunity Employer

TriWest Healthcare Alliance is an equal employment opportunity employer. All qualified applicants are considered for employment, without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic made unlawful by applicable federal, state, or local laws.

 

Are you ready to make a difference in the lives of our nation’s heroes?

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