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Healthcare Member Representative

Company: Aston Carter
Location: Monterey Park
Posted on: September 18, 2022

Job Description:

Healthcare provider in the city of Monterey Park, CA is seeking for Healthcare Member Representative immediately!!!M-F ScheduleONSITEPay:$17-$18/hourTraining ProvidedDescription:Responsible for providing professional claims call services to vendors, members, and Health Plans. They will work with Claims Examiners and Claims Audit team to uphold the integrity of Customer Support to the population each IPA services.KEY RESPONSIBILITIES:. Provide timely, accurate, and courteous responses to a high volume of telephone inquiries from internal andexternal parties related to Claims. Effectively communicate claims payment/denial information to IPA's customers. Demonstrate professionalism, empathy and a sense of urgency on each and every call/transaction. Effectively navigate through multiple complex systems/screens. Provide timely follow-up with other internal departments to expedite resolution of difficult/aging inquiries, andwhen necessary escalate those issues to management for further handling. Keep abreast of all system, contractual, compliance standard changes and policy updates, and attend additionaltraining sessions and department meetings as necessary. Effectively communicate and coordinate within internal teams to gather and review information needed to keepprojects on track. Comply with all the HIPAA Compliance regulations. Adhere to corporate standards for performance metrics, data integrity, and reporting format to ensurehigh quality, and meaningful outputSkills:healthcare, member services, customer service, Claim, Claims processing, Call center, utilization management, Customer service, Insurance, Health insurance, Medical claims processing, Medical terminology, Claims resolution, Health care, Medical claimIf interested, upload your resume for more details.

About Aston Carter:
Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you.
At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions - from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.
Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients' capabilities by seeking solvers and delivering solutions to address today's workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit Aston Carter is a company within Allegis Group, a global leader in talent solutions.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

Keywords: Aston Carter, Monterey Park , Healthcare Member Representative, Other , Monterey Park, California

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