California Licensed Customer Service Rep

Job Summary

A company is looking for a Senior Customer Service Representative.

Key Responsibilities

• Receive and resolve customer concerns related to claims, authorizations, and IPA functionality
• Function as a liaison between physicians, health plans, and IPA staff while logging issues for resolution
• Participate in training new staff and maintain quality standards for customer interactions

Required Qualifications

• High School Diploma / GED or equivalent work experience
• 1+ years of experience in a Medicare and HMO environment
• 1+ years of claims processing or customer service experience
• Experience interpreting provider and health plan contracts
• Ability to work full-time with flexibility for shift schedules