EzyBook
Our customer support representative fulfills these responsibilities:
-
- Receive inquiries via phone, fax, and email regarding the eligibility, to determine the benefits, any questions regarding the claims adjudication or billing issues
- Appropriate regulation, interpretations, and directives are provided so that they can respond to any inquiries related to the eligibility and benefits determination
- Claim data are obtained and analyzed while dealing with the specific problem area along with the external communication
- Research is done and then, according to the contractual requirements final resolution to the inquiries is provided
- Communicate the inquirer for the determination of appropriate authorization or referral of the services
- Submission of the claims for adjudication, correction, payment or review as suitable
- Responses to the queries of the customers via different communication forums (telephone, written letter, web or email) within the allocated time frame to maintain the contractual standards
- Collection and recording of the data for computer analysis and records of the customer service
- After identifying the system problems, inform the supervisory staff, and research the problem to provide the backup data and examples when required