Provider Claims Customer Service Representative

Job not on LinkedIn

🕒 September 12

🌴 South Carolina – Remote

🌴 South Carolina – Remote

💵 $16 - $17 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 22%

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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Imagenet LLC

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

📦 Logistics

📣 Marketing

💰 Private Equity Round on 2022-12

Healthcare • Logistics • Marketing

Imagenet LLC is a leading provider of business continuity services for healthcare organizations, specializing in digital mailroom solutions, claims adjudication, contact center operations, and workflow management. With over two decades of experience and a reputation for enhancing efficiency and accuracy, Imagenet partners with health plans to streamline processes and improve member satisfaction. Their services are designed to reduce claims turnaround times, increase processing capacities, and lower contact center wait times. By integrating scalable solutions tailored to specific needs, Imagenet enables healthcare organizations to accelerate productivity and mitigate operational challenges.

📋 Description

• Answer inbound calls from healthcare provider representatives regarding claim status • Research claims and claim status information using client systems and platforms • Clearly and accurately communicate available claim information to provider representatives • Verify appropriate information before discussing claim details • Navigate multiple applications while actively assisting callers • Document calls and actions accurately according to established procedures • Identify inquiries requiring additional assistance and follow escalation procedures • Maintain professional and effective communication throughout provider interactions • Achieve established productivity, quality, attendance, and service expectations • Participate in training, coaching, and ongoing professional development • Follow privacy, security, client, and organizational requirements • Support a fast-paced healthcare provider contact center in a fully remote environment • This role focuses on claim status inquiries and does not involve claims adjudication

🎯 Requirements

• 2+ years of previous customer service or contact center experience • Strong verbal communication and active listening skills • Ability to communicate information clearly, accurately, and professionally over the phone • Strong attention to detail • Ability to navigate multiple computer systems while actively handling calls • Ability to manage workload effectively and meet productivity and quality expectations • Ability to work independently and collaboratively within a remote team environment • Reliable attendance and ability to maintain an established work schedule • High-speed internet of 25 Mbps download and 5 Mbps upload; speed test required • Ability to directly hardwire to modem • Quiet dedicated work area required • Preferred: Experience supporting healthcare providers, provider offices, or medical billing organizations • Preferred: Familiarity with HIPAA, healthcare claims and claims terminology • Preferred: Experience researching medical claim status within payer, health plan, TPA, or managed care systems • Preferred: Familiarity with common claim statuses, including paid, denied, pending, and in-process claims • Preferred: Experience working within established contact center metrics, including average handle time, quality, productivity, and schedule adherence • Preferred: Experience navigating multiple systems simultaneously while assisting callers

🏖️ Benefits

• Work remotely • Competitive pay • Comprehensive benefit structure • Equipment provided • Career growth opportunities • Training, coaching, and ongoing professional development activities

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