Insurance Customer Support Specialist id-10287

June 6, 2025

Remote after 1 week of training in Lincoln NE

Long-term temp-to-hire position (Conversion could take over 6 months due to learning curve).

Inbound and Outbound Calls - But Not a typical call center; involves handling workflows from a queue with tasks varying in complexity.

Work approximately 20-30 calls per day; will be pulling activities known as work flows out of a cue and working through them. They can be as simple as changing an address or a phone number, to as complex as adding in a whole new dental provider and the staff.

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Role Remote/Hybrid: Fully remote after initial training week; must start with 4 days in-office training in Lincoln, NE. with a very detailed hiring process. This is a metrics-driven with daily and monthly reviews.

Schedule & Compensation:

Initial Hours: 8am-4:45pm (M-TH), 7:45-4:30 (F).

Potential Schedule Changes: Opportunity for later shift or 4-day workweeks (4x10s) once hired full-time.

Pay Rate: $20 per hour.

Estimated Start Date: Late May or early June.

Required Skills:

Ability to multi-task and provide strong customer service.

Proficiency in computer skills.

Good follow-through abilities.

Ability to stay on task and focused while working from home without distractions (Must meet Metrics)

Duties & Responsibilities:

Serve as a liaison between company and internal/external partners.

Provide timely and accurate response to inquiries, solve problems, and adhere to contract guidelines.

Educate providers on contractual issues and address complaints.

Engage in credentialing and recruitment of network providers.

Responsible for the credentialing and re-credentialing of our network providers.

Responsible for the reporting of providers to the HealthCare Integrity and Protection Data Bank and related state licensing boards.

Assist in recruitment of providers in targeted areas and keep abreast of the current recruitment plan to provide accurate information to our customers.

Partner with our Provider Network Representatives to help expand our growing network.

Assist in the fee negotiation process between active or potential network providers and our Actuarial department, providing the appropriate information for fee review.

Provide effective complaint resolution for our insured members and network providers. This may involve educating dental offices regarding their agreement, and acting as a mediator between dental office and insured persons.

Meet all functional measurements when processing work from the Managed Care Imaging queues

Relationships & Compliance:

Maintain relationships with contacts from assigned files.

Assist in fee negotiation and provide information for review.

Partner with Compliance and Law departments to adhere to state requirements.

This position demands a high level of engagement and proficiency in managed care systems, with a strong focus on building and maintaining relationships.

As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan.

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