Customer Service Representative

Firstsource

Dayton, Ohio, US
Base: $14; bonus/equity: not specified; benefits: ...
On-site
Review grievance and appeals documents
Identify and assign line of business
Determine and classify dispute type
Firstsource is seeking a Customer Service Representative in Dayton, Ohio, to handle grievance and appeal documents related to health plans. The role involves data entry, ensuring compliance with regulatory standards, and maintaining high productivity and accuracy

Job Summary

  • Review incoming Grievance and Appeals documents for completeness, legibility, and relevance.
  • Accurately identify and assign the correct Line of Business (LOB) based on client and regulatory definitions.
  • Adhere to all HIPAA, data privacy, and security requirements when handling protected health information (PHI).

Matching Summary

Match Score: 75

Firstsource is seeking a Customer Service Representative in Dayton, Ohio, to handle grievance and appeal documents related to health plans. The role involves data entry, ensuring compliance with regulatory standards, and maintaining high productivity and accuracy.

Salary

Base: $14; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Review Grievance and Appeals documents
  • Identify and assign Line of Business
  • Determine and classify dispute type
  • Access multiple client systems
  • Index documents accurately
  • Adhere to HIPAA and data privacy

Nice-to-have

  • Participate in quality audits
  • Process improvement initiatives

Key Requirements

  • Full Time
  • Non-Exempt/Hourly

Work Rights

Not specified

Tailored Resume

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