Aston Carter Hiring for Fully Remote Customer Service Representative at Omaha, NE Full Time

Customer Care Specialist answers inquiries from providers and other affiliated representatives or groups regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems. This position establishes and maintains rapport with contacts and present a favorable corporate image while responding to inquiries within time frames required to exceed contractual standards.

Characteristics and Responsibilities

• The CSR’s will be exclusively handling provider calls These calls will revolve around the status of claims, submitting claims, or following up on rejected claims.
• Obtain and analyze claims data to determine specific problem area including external communication to obtain data.
• Complete research and provide final resolution to inquiries within contractual requirements.
• Communicate with inquirer to determine appropriate authorization or referral of services.
• Submit claims for adjudication, correction, payment, or review as appropriate.
• Educate providers on billing requirements of TRICARE to reduce claim problems.
• Deal tactfully with people in a wide variety of situations to convey a favorable corporate image.
• Respond to inquirer using various forms of communication (written letter, telephone, web, or email) within time frames to exceed contractual standards.
• Collect and record data for Customer Service records and computer analysis.
• Inform supervisory staff of system problems when identified, researching problems to provide backup data and examples when needed.
• They will be handling mostly phone communication with providers but in downtime they will perform written correspondences from Tricare Providers

Additional Skills & Qualifications:

MUST HAVES:

• 1+ years of call center customer service experience or 1+ year of healthcare experience must be able to work remotely in a quiet work space with no distractions
• High School Diploma or GED NEEDED

About Aston Carter:

Please Note: Scammers are posing as Aston Carter. We’ll never contact you via Gmail, Telegram, or WhatsApp and we’ll never solicit money from you.

At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email [email protected] for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.