California Licensed Customer Service Rep

Job Summary

A company is looking for a Healthcare Customer Service Representative (Work from Home).

Key Responsibilities

• Answer incoming calls from providers and members regarding eligibility, claims, and authorization status
• Collaborate with internal and external partners to resolve issues related to claims payment and eligibility inquiries
• Create and track Customer Service Incidents to resolve caller issues and ensure a positive customer experience

Required Qualifications

• High School diploma or GED required
• One (1) to three (3) years of customer service experience required
• One (1) to three (3) years in the Health Insurance Industry preferred
• Claims payor experience preferred, but not required