New

Provider Inquiry Senior Associate/Call Center Representative

Business Promotion Consultants, Inc. (BPC)
$23.00 to $25.00 hourly - Major Medical, dental, vision, STD, LTD, Life and ADD insurance, 401(k) retirement plan, paid vacation, sick and holiday leave, Commuter Transit Benefit
United States, D.C., Washington
May 01, 2025
About Us: Join our team in supporting the DC Medicaid Program as a Provider Inquiry Senior Associate. This is a full-time position, which focuses on delivering quality service to the DC Medicaid Provider community via telephone interaction from a central brick and mortar office, call center environment. We are looking for a dedicated individual with a strong background in medical claims and customer service, who has the ability to read and understand why claims may be denied. Key Responsibilities: Promptly answer incoming calls and respond to written inquiries in a polite and professional manner. Research and provide detailed explanations regarding claims, including submissions, denials, and appeals. Assist with recipient eligibility, payment inquiries, and troubleshooting technical issues with web-based provider interfaces. Offer information, direct calls, and refer Providers to other departments as needed. Accurately document all interactions in our system. Perform additional duties as assigned by the department Requirements: Knowledge of insurance medical claims Ability to read medical claims Ability to assess why claim was denied Customer Service Call Center Experience 2-4 years of experience in a Medical Call Center environment with a strong emphasis on customer service. Proficiency in using computers and related software. Strong written and oral communication skills. Detail-oriented with the ability to multitask effectively. Ability to work collaboratively in a team environment. Must be vaccinated as this is a requirement for employment. High School Diploma or GED Why Join Us: Opportunity to make meaningful impact on the DC Medicaid Provider Community Collaborative work environment with supportive team members. Comprehensive benefits package.