Job Description

Immediate need for a talented Call center rep (Claims) . This is a 05+months contract opportunity with long-term potential and is located in Atlanta, GA (Hybrid) . Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-73190

Pay Range: $21 - $23/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Staff will log into phone queue, answer calls from providers, retrieve voicemails, and review reports for any provider & member follow-up calls that need to be conducted.
• Team members will review prior authorizations to confirm the site of care is appropriate and redirect members to alternative servicing providers when needed based on policy.
• This will require phone outreach to providers and members.
• Performance expectations will be based on the quality of customer services to members & providers, site of care review process, and number of successful contacts.

Key Requirements and Technology Experience:

• Key Skills; Pharmacy
• Call center
• Claims
• Knowledge of health care, managed care, Medicare or Medicaid preferred.
• Claims billing/coding knowledge preferred. Customer service experience
• High School Diploma or equivalent

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here .

Job Tags

Similar Jobs