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Member Services Representative
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- As a Member Services representative the candidate will be working in Nascentia Health's Communication Center, a high-volume call center for all lines of business.
- 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 (DOH) mandates, CMS/Medicare guidelines, benefit plan documents/certificates)
- 1+ years prior experience in customer service, call center setting or phone support role
- Knowledge of HIPAA, DOH, and CMS regulations for insurance plans
- Tuition Reimbursement for BSN after 6 months of employment
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