Cobalt MedPlans
Cobalt MedPlans is a healthcare business process outsourcing (BPO) company that specializes in claims administration services for healthcare payers and third-party administrators (TPAs). They offer a range of services including claims management, contact center services, and member engagement solutions, leveraging predictive analytics to enhance member experience. Cobalt MedPlans focuses on creating sustainable operational efficiencies and prioritizes data security within their BPO operations.
Business Process Outsourcing • Claims Administration Services • Contact Center Services
Customer Service Representative
March 7
Cobalt MedPlans
Cobalt MedPlans is a healthcare business process outsourcing (BPO) company that specializes in claims administration services for healthcare payers and third-party administrators (TPAs). They offer a range of services including claims management, contact center services, and member engagement solutions, leveraging predictive analytics to enhance member experience. Cobalt MedPlans focuses on creating sustainable operational efficiencies and prioritizes data security within their BPO operations.
Business Process Outsourcing • Claims Administration Services • Contact Center Services
📋 Description
• Respond to phone call requests for benefits by evaluating and determining coverage for benefits based on the member's plan/client's benefit plan. • Respond to phone call inquiries regarding the processing of a claim. • Research policy information and membership records to resolve issues. • Maintain quality and production standards as defined by client contract and/or management determination of need. • Manage time adequately to ensure proper turn-around for all tasks such as customer service requests, follow-up, and audit feedback. • Work with teammates and supervisors to ensure the needs of the client are met. • Assist in development of process improvement initiatives. • May also process claims or adjustments. • Execute prompt analytical decision making/research with specific attention to detail. • Comply with State laws, policy and company procedures.
🎯 Requirements
• High school diploma or GED. • One year of claims adjudication/customer service experience or equivalent experience. • Preferred medical terminology and medical claims and coding knowledge.
🏖️ Benefits
• Competitive hourly pay and benefits
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