LaSalle Network is partnering with a growing healthcare organization, seeking to hire a Customer Experience Representative to support their client service and claims team.
Work Model: Hybrid, 2 days remote, 3 onsite
Location: Naperville, IL
Compenstaion: $20-$24/hr pending expereince
Benefits: Medical/Dental/Vision
Summary
This role is responsible for assisting members, providers, brokers, and administrators with dental claim inquiries while ensuring accurate claim processing and a high level of customer service.
Responsibilities
- Provide excellent customer service by responding to verbal and written inquiries from subscribers, providers, brokers, and group administrators
- Handle 80 – 100 inbound calls
- Troubleshoot and resolve dental claim-related questions and concerns
- Process claims adjustments during customer calls and throughout the workday
- Review and process claim that require manual review after failing automated system edits
- Maintain and track documentation related to adjustment requests, check investigations, overpayment letters, and electronic forms
- Complete daily logs, reports, and documentation accurately and on time
- Support special projects and administrative tasks as assigned
- Assist with training and supporting new team members as needed
- Follow company policies and guidelines related to Electronic Protected Health Information (EPHI)
- Maintain consistent attendance, punctuality, and performance standards
- Provide feedback to leadership and team members to help improve processes and team performance.
- High School Diploma or equivalent required
- Strong customer service and problem-solving skills
- Excellent verbal and written communication skills
- Strong computer and data entry skills, with the ability to work in a call center or ACD environment with performance goals
- Knowledge of insurance reimbursement processes, including deductibles, maximums, coordination of benefits (COB), and dental terminology
- Ability to manage multiple tasks and work independently in a fast-paced environment
- Strong organization skills and attention to detail.
If you are interested in this position and feel that you qualify/meet the requirements, please apply today!
LaSalle Network is an Equal Opportunity Employer m/f/d/v.
LaSalle Network is the leading provider of direct hire and temporary staffing services. For over two decades, LaSalle has helped organizations hire faster and connect top talent with opportunities, from entry-level positions to the C-suite. With units specializing in Accounting and Finance, Administrative, Engineering, Marketing, Technology, Supply Chain, Revenue Cycle, Call Center, Human Resources and Executive Search, LaSalle offers staffing and recruiting solutions to companies of all sizes and across all industries.