Benefits & Claims Representative (Healthcare)

Location: Must live within 45 miles of Baton Rouge, Louisiana, United States. Remote work is available after training, but training is 100% onsite and onsite attendance may be required several times per month.

Company

hirify.global provides contract staffing opportunities, including customer service and healthcare-related roles.

What you will do

• Resolve benefit and claims inquiries from members and providers by telephone and through approved channels.
• Handle inbound questions about benefits, claims, billing, eligibility, adjustments, refunds, and payment discrepancies.
• Research and resolve customer issues across multiple systems while maintaining accurate benefits and payment information.
• Maintain current knowledge of policies, procedures, and regulatory requirements.
• Document interactions completely and accurately and meet quality, productivity, customer satisfaction, and attendance metrics.
• Work in a high-volume call center environment, spending approximately 95% of the time on the phone, and drive First Call Resolution.

Requirements

• At least 1 year of customer service or medical office experience, or completion of the BRCC Medical Assistant, Coding & Insurance pathway in lieu of experience.
• High school diploma or equivalent.
• Must live within 45 miles of Baton Rouge, LA.
• Strong verbal and written communication, professionalism, empathy, active listening, and effective questioning skills.
• Ability to interpret and explain benefits, claims, and policies; solve problems; manage multiple inquiries; resolve conflicts; and remain calm under pressure.
• Proficiency with Microsoft Office and related systems, plus successful completion of customer service training.

Nice to have

• Call center experience.
• Familiarity with healthcare and insurance terminology.

Culture & Benefits

• Six-month contract opportunity.
• W-2 employment only; C2C is not eligible.
• Remote work after onsite training, with possible onsite attendance several times per month.
• Broadband internet service is required at home; AT&T Air and T-Mobile 5G internet are not compatible with the required equipment.
• May require work during emergencies or inclement weather.