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Claims Customer Service Representative

Medical Associates, Dubuque, IA

This listing has expired

Medical Associates is looking for a full-time Claims Customer Service Representative to join our team!

The Position:
This position needs someone with strong dedication to excellent customer service that shines over the phone, through written correspondence, and with colleagues. On a daily basis, this person will utilize their professional oral and written communication skills along with their ability to collaborate successfully with a team. Additionally, a successful person in this role will be organized and efficient at multi-tasking, may have some prior claims processing experience, and be proficient at Microsoft Excel and typing.

Schedule/Hours: Monday - Friday between 8am - 5pm, 40 hours/week. This position includes full benefits!

Location: Our office is located at 1605 Associates Dr. Dubuque, IA (near Medical Associates West Campus)

What you'll be doing:

  • Providing customer service to claimants, providers, and clients in resolving claims issues according to plan policies. Assisting Health Choices staff when needed with new and renewal group presentations to explain benefits of plan and assist in answering questions. 
  • Examining, processing, calculating, and paying claims after verification of fee schedules and contract benefits in compliance with state laws, employer contracts, policies and procedures, and production standards established by the company.
  • Assisting Managed Care and Subrogation Specialist to endure timely resolution of claims pended for subrogation and medical authorization
  • Possessing knowledge of all choice plan benefit plans and provide interpretation to all constituents including potential members, brokers, members, providers, employers, and Medical Associate Clinic and Choice Plans staff. 
  • Making appropriate adjustments to previously adjudicated claims and maintain coordination of benefit files
  • Completing all other assigned projects and duties 

Knowledge, Skills and Abilities:
Education - Equivalent to a high school education.

Experience - One to three years of similar or related experience.

Other Skills - Familiar with Microsoft Office applications, particularly Word and Excel.

This listing has expired

Job Details

ID 757945
Dubuque, IA
Positions 1
Full Time
Pay --
Customer Service
Health Care
EMSI Skills Collaboration
Customer Service
Managed Care
Microsoft Excel
Microsoft Office
Written Communication
Health Insurance
Dental Insurance
Life Insurance
Retirement Plan
Paid Vacation
Paid Sick Leave
Paid Holidays

Preferred Candidates

Years of Experience --
Education High School/GED

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