Customer representative/ healthcare verification and benefit

Overview

Looking for full-time work (8 hours/day)

at $3.76/hour ($727.26/month)

Associates degree

Last Active

July 15th, 2026 (yesterday)

Member Since

December 18th, 2024

Profile Description

Customer Service Representative
October 2022- November 2024
• Working with Centene Corporations, a US healthcare insurance company specifically working with Ambetter- Marketplace (Provider Services)
• Assisting providers and providing accurate information and satisfactory answer to the callers about their query and questions.
• Reviewing status of medical authorization,
• Reviewing member/patient’s benefit and eligibility information, check the members plan type, and effective date/end date for verification
• Reviewing medical claims, claims appeal, and reconsideration status. And provide options and details about the medical claims.
• Checking credentialing information such as, status of the application.
• Checking if the provider is In-Network or Out of Network to Ambetter.
• Assisting providers to their online activation for them to access their online account, and for troubleshooting some issues to their portal.
SKILLS:
• Time Management
• Active Listening
• Have knowledge in Microsoft word, excel, and Power Point
• Excellent verbal communication
• Customer service Oriented
• Friendly
• Situational flexible, and hardworking
• Fast Leaner