Call Center Representative - Medical Provider Claims Support

Smart Data Solutions, a leading provider of data management, claim routing and workflow solutions to health plans and TPAs, is looking for Call Center Representatives to join our team!

What you'll be doing?

• Answer incoming provider and member calls regarding eligibility, benefits summaries, and other general insurance inquires.
• Assist providers and members with questions regarding claim status and other billing concerns.
• Thoroughly document all provider and member interactions
• Maintain departmental KPI's, as defined by the Call Center Manager
• Maintain or exceed all departmental and/or campaign SLA's
• Adhere to all corporate and client mandatory trainings, privacy and security protocols, time entry requirements, attendance and leave time policies and guidelines.
• Perform other duties as assigned.

What we're looking for?

Required skills:

• High school diploma or GED
• Health insurance background (preferred)
• Minimum 2 years of call center experience (required)

Why this is the company for you?

Top Benefits & Perks:

• A company culture that is authentic, innovative, and collaborative! Our most powerful strength is our people! We build impactful solutions for our customers - their success is our success!
• A professional development and growth-oriented workplace
• Generous benefits including, health insurance, short-term, and long-term disability
• 401(k) with a company match to provide a better future in your retirement years
• A flexible environment with a competitive paid time off package; including vacation, holiday, give-back day, and a floating day
• Performance-based incentive program
  • $500 Sign-On Bonus
  • Hourly Rate Increases

Who is Smart Data Solutions?

Smart Data Solutions (SDS) is a technology leader in healthcare process automation and interoperability. As a strategic partner, SDS helps clients digitally transform their operations, delivering tangible value through reduced costs, streamlined workflows, and an improved customer experience. With data, AI, and automation at its core, SDS provides solutions in Digital Mailroom and Data Capture, Clearinghouse, Intelligent Medical Records, Prior Authorization and Claim Operations. Trusted by over 500 clients-including multiple Blue Cross Blue Shield plans, regional health plans, TPAs, providers, and healthcare partners-SDS streamlines complex front, middle, and back-office operations.

Smart Data Solutions is an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status.