Healthcare Customer Service Specialist II - Remote

Overview

The Healthcare Customer Service Specialist II at Performant plays a vital role in providing professional and timely responses to Medicare and provider inquiries, ensuring a high level of service and support.

In Short

• Primary point of contact for providers and Medicare contractors.
• Respond to written, telephonic, and electronic inquiries.
• Maintain knowledge of contract requirements and objectives.
• Develop relationships with colleagues and healthcare providers.
• Conduct follow-ups and research to resolve inquiries.
• Document all communications in tracking logs.
• Educate providers on processes and appeal rights.
• Handle escalated concerns and suggest process improvements.
• Must maintain HIPAA Certification.
• Flexible to manage various job duties.

Requirements

• At least two years of experience in a call center or customer service position.
• High School diploma or GED required.
• Experience in claims processing/billing preferred.
• Excellent verbal and written communication skills.
• Skilled in data entry and computer use.
• Strong understanding of customer service policies.
• Ability to learn CMS rules and regulations.
• Detail-oriented and organized.
• Maintain a strong work ethic and attendance.
• Must pass a background check and drug test.

Benefits

• Medical, dental, and vision coverage options.
• Disability and life insurance coverage.
• 401(k) savings plans.
• Paid family/parental leave.
• 11 paid holidays per year.
• Sick time and vacation time off annually.