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
Feb 17, 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 can navigate complex information quickly and accurately. 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: High School Diploma or GED. 2-4 years of experience in a medical call center environment with a strong emphasis on customer service. Knowledge of insurance medical claims is preferred. 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. Why Join Us: Opportunity to make a meaningful impact on the DC Medicaid Provider community. Collaborative work environment with supportive team members. Comprehensive benefits package. Equal Opportunity Employer: BPC is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.