Customer Support Specialist

Job not on LinkedIn

🔥 4 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Healthcare Fraud Shield

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2011

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

💰 Private Equity Round on 2021-01

Healthcare • Consulting • Healthcare Insurance

Healthcare Fraud Shield is a company specializing in Payment Integrity and Cost Containment solutions for healthcare insurers. They offer a comprehensive, AI-driven platform that incorporates advanced anomaly detection and a proprietary data fusion library to combat fraud, waste, abuse, and errors in healthcare claims. Their robust end-to-end solution optimizes the auditing process, utilizing both pre- and post-payment data to maximize savings and improve accuracy in claim processing. By providing actionable insights and expert support, Healthcare Fraud Shield helps organizations achieve significant annual savings and enhance operational efficiency.

📋 Description

• Develop and maintain extensive working knowledge of HCFSPlatform customer workflows and support procedures. • Respond to customer support questions and application issues by phone and email. • Investigate, document, resolve, and appropriately escalate customer issues. • Maintain accurate and current documentation of customer interactions, troubleshooting, resolutions, and follow-up actions. • Monitor assigned support cases and ensure timely updates, follow-up, and resolution within service expectations. • Identify recurring questions or product issues and recommend improvements to support processes, documentation, FAQs, and reference materials. • Maintain and update software help content, release documentation, reference guides, and internal support resources. • Review assigned news articles each business day and enter required data into the designated software system. • Complete vendor reporting updates related to customer support cases. • Collaborate with Client Engagement, Implementation, IT, and other internal teams. • Comply with company Privacy and Security standards. • Use or disclose protected health information only as permitted or required by law and company policy. • Handle confidential and sensitive information securely and discreetly. • Perform other duties as required. • This position does not include client software training, designing client training programs, analyzing training surveys, supervising employees, assigning work, or managing employee performance.

🎯 Requirements

• Proven customer service experience, including resolving customer issues in a professional and timely manner. • Analytical troubleshooting skills and a structured approach to problem solving. • Ability to absorb complex technical information and communicate it clearly to users without a technical background. • Excellent verbal and written communication skills, with strong attention to tone, accuracy, and follow-through. • Experience working within service-level agreements (SLAs), deadlines, and competing priorities. • Ability to work effectively under pressure and exercise sound judgment when prioritizing customer needs. • Strong attention to detail and data-entry accuracy, including the ability to review source articles and consistently capture required information in a software system. • Advanced knowledge of web-based applications and Microsoft Office products, including Word, Excel, and Outlook. • Ability to maintain discretion when working with protected health information and other confidential or sensitive information. • Strong working knowledge of web-based applications. • High-speed Internet with minimum 25mbs download and 5mbs upload; satellite internet is not allowed. • Experience in healthcare IT, clinical informatics, or healthcare Fraud, Waste and Abuse (FWA) is preferred.

🏖️ Benefits

• Medical, Dental & Vision insurance • 401(k) retirement savings with employer match • Vacation and sick paid time off • 7 paid holidays & 2 floating holidays • Paid maternity/paternity leave • Disability & Life insurance • Flexible Spending Account (FSA) • Employee Assistance Program (EAP) • Free on-site fitness center (for local employees) • Professional and career development initiatives • Remote work eligible • Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload.

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