Customer Service

October 3

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Logo of ibex

ibex

ibex is

10,000+ employees

📋 Description

• Resolving coordination of benefits inquires by analyzing patient activity (including enrollment, third party liability, claims attachments). • Having a comprehensive understanding of insurance coverage and being able to interpret and communicate accurate information. • Thoroughly and completely documenting all customer interactions. • Educating customers and dental professionals on eligibility, benefits, claims payment, and authorizations. • Educating on the usage and benefits of self-service tools. • Assisting members on gaining access to care by locating a network dentist or assignment to a primary care dentist. • Directing inquires to necessary departments or individuals when the resolution of the inquiry is beyond the span of control for this role. • Responding to customer inquiries in a courteous and professional manner. • Researching and consistently providing accurate information to resolve all member and provider inquiries through verbal and written communications through all channels including phone, email, web portal, and chat interactions. • Responding to and resolving internal and external complex customer inquiries. • Resolving claim payment inquiries by researching and analyzing patient activity and determining appropriate action to be taken. • Taking ownership of the resolution and setting expectation for follow up. • Ensuring resubmissions, stop payments, and voids are appropriately handled. • Meeting or exceeding individual, department, and client specific goals. • Understanding and adhering to all client administrative and contractual policies and procedures. • Suggesting ways to improve the service delivery processes contributing to the success of the organization. • Other duties as assigned.

🎯 Requirements

• High School Diploma or Equivalent • 2 years experience in a high volume customer service environment • Experience in healthcare or related industry experience preferred • Ability to multi-task using multiple applications simultaneously • Ability to set-up computer equipment and troubleshoot issues with minimal assistance • Professional verbal and written communication skills • Ability to operate a computer and knowledge of Microsoft Office applications • Strong organizational skills and attention to detail • Ability to work independently and with a team • Ability to learn quickly and adapt to a fast pace production environment • Cooperative, professional and effective interaction skills • Critical thinking and problem solving skills • Ability to tolerate repetitive work without compromising accuracy and service levels • Attend additional training as requested/deemed necessary

🏖️ Benefits

• Medical, Dental, and Vision insurance • 401(k) Retirement Savings Plan • Paid Time Off • Paid T-Mobile cell service • $500.00 Employee referral program • Employee PerkSpot (discounts on retail, hotel, food, restaurants, car rental and much more!!)

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