Member Insurance Representative

TekSystems is currently hiring for several Medical Claims/Medical Biller/Medical Billing Customer Service roles in the Rockville area!

MUST HAVE: Any medical claims, medical billing, medical insurance experience and understanding of medical insurance!

Description:

JOB SUMMARY – The representative will provide all participants, local unions, providers, vendors and other customer service representatives extraordinary service when he or she is communicating with them via telephone, e-mail, in person and other written correspondence. During each communication, they will provide empathetic and efficient service. They will be working with their members to walk through, answer questions, and collect via their insurance plan. They will obtain and maintain a working knowledge of the basic plan provisions and multiple benefit schedules, as well as a clear understanding of the eligibility system, claim system, and the Reciprocity system (ERTS).

Additional Skills & Qualifications:

• 1 years of call center experience in a medical billing or medical insurance call center environment or 1 years of processing medical claims

• Bilingual speaking candidates strongly preferred

• Bachelor’s degree or equivalent experience required

• Previous TPA or major insurance carrier experience strongly preferred, but not required

• Excellent written & verbal communication skills

• Proficiency in MS Office is required

• Must type 40 wpm

• Demonstrates ability to manage complex issues while maintaining a flexible, positive, and cooperative demeanor

• Responds in a timely manner to operations leaders and stakeholders to facilitate informed decision-making

• Troubleshoots assigned issues, gathers evidence, and investigates all relevant information with participants, vendors, and internal departments to resolve the problem in a cooperative and collaborative manner

• Dependability – ensures timely arrival and consistent attendance to support the achievement of the team’s goals.

About TEKsystems:

Were partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. Thats the power of true partnership. TEKsystems is an Allegis Group company.

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.