Redetermination Specialist

Job Description:Affiliated Computer Services, Inc., ACS, is a global FORTUNE 500 company with more than 55,000 plus people working together to support client operations in nearly 100 countries. By providing business process outsourcing, human resources outsourcing and information technology solutions to world-class commercial and government clients, ACS offers its associates vast opportunities to succeed. Recognized worldwide for generating possibilities and creating solutions, ACS welcomes you to become part of our growing team. Join our mission and vision for the future. Thank you for your interest!Customer Care Using a computerized system, responds to customer inquiries in a call center environment. May perform one or more of the following:· Responds to telephone inquiries and complaints using standard scripts and procedures· Gathers information, researches/resolves inquiries and logs customer calls· Communicates appropriate options for resolution in a timely manner· Informs customers about services available and assesses customer needs· Provides functional guidance, training and assistance to lower level staff · Provides assistance, training and troubleshooting support to lower level staff· Schedules work to ensures accurate phone coverage; monitors priority of calls and shifts escalated calls to assure resolution to problems· Prepares standard reports to track workload, response time and quality of input· Assists in planning and implementing department goals and makes recommendations to management to improve efficiency and effectiveness· All other duties as assignedREPRESENTATIVE PRINCIPAL DUTIES AND RESPONSIBILITIES:Responding to written requests for Redertimations/reopenings of initial claim decision.Gathers information, researches/resolves inquiries and responds to customer with a written response or a payment adjustment.· Knowledge of Medicare A or Medicare B regulations is highly preferred.· Knowledge of healthcare claims processing and/or coordination of benefits preferred.· Above Average PC skills.All other duties as assigned.ACS is an Equal Employment Opportunity/Affirmative Action Employer and does not discriminate against any applicant on the basis of race, color, religion, national origin, age, gender, marital status, disability, sexual orientation, military/veteran status, or any other status protected by Federal or State law or local ordinance.Expected Travel Time: None Company: ACS inc Location: West Des Moines, IA 50265 Job Status/Type: Full Time, Employee Job Category: Customer Support/Client Care Industry: Other/Not Classified Occupations: General/Other: Customer Support/Client Care Career Level: Experienced (Non-Manager) Company: ACS inc Reference Code: 17034