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Robert Half International Claims and Customer Service Specialist in Horsham, Pennsylvania


Robert Half Strategic Accounts OfficeTeam is looking to fulltime a Claims and Customer Service Specialist.

Job Descriptions:

• Answer incoming phone calls from members and health care providers i.e. physician offices clinics.

• Identify the type of assistance the caller needs i.e. benefit and eligibility billing and payments and/or explanation of benefits EOBs.

• Review and research incoming claims by navigating multiple computer systems and platforms and accurately capturing the data/information necessary for processing e.g. verify pricing prior authorizations applicable benefits

• Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures e.g. claims processing policies and procedures grievance procedures state mandates CMS/Medicare guidelines benefit plan documents/certificates.

• Communicate and collaborate with members and providers to resolve claims errors/issues using clear simple language to ensure understanding.

• Resolve issues on the first call navigate through the appropriate computer systems to identify the current status of the issue and provide appropriate response to caller.

This is a contract employment opportunity based in (Horsham PA 19044)

Is this something that you would be interested in doing?

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Qualifications / Education:

• High School Diploma or Equivalent.

• Handle complex claim situations.

• Analyze and resolve problems from customers and providers.

• Select and explain the best solution for the problem.

• Demonstrate ability in using computer and Windows PC applications which includes strong keyboard and navigation skills and learning new computer programs.

• Demonstrate proficiency in using Microsoft Office Outlook Word Excel to complete work assignments.

OfficeTeam, a Robert Half Company, matches professionals in the administrative field on a temporary and temporary-to-full-time basis. Whether you're a seasoned administrative pro or starting your career, we have options for you. Our personalized approach, innovative matching technology and global network with local market expertise help you find the legal opportunities that match your skills and priorities — fast. By working with us, you have access to challenging opportunities, competitive compensation and benefits, and training to enhance your skill sets.

From philanthropy to environmental stewardship to employee programs, Robert Half is proud to have an active role in the communities in which we live and work. Our company has appeared on FORTUNE’s “Most Admired Companies” list every year since 1998.

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Contact your nearest OfficeTeam location at 888.490.4154 or visit to apply for this job now or find out more about other job opportunities.

All applicants applying for U.S. job openings must be authorized to work in the United States. All applicants applying for Canadian job openings must be authorized to work in Canada.

© 2020 OfficeTeam. A Robert Half Company. An Equal Opportunity Employer M/F/Disability/Veterans.

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Salary: $17.00 - $18.00 / Hourly

Location: Horsham, PA

Date Posted: October 16, 2020

Employment Type: Temporary

Job Reference: 04720-9502728501

Staffing Area: Office u0026 Administrative