Call Center Representative

Job Summary

Working remotely in a full-time capacity, the Call Center Representative will provide customer service support to long-term care providers and members, manage escalated issues, and resolve operational problems during standard business hours of 8:00 am - 5:00 pm EST.

Key responsibilities

• Provide expertise and customer service support to long-term care providers and members
• Serve as the liaison to manage first-level response and resolution of escalated issues
• Investigate and resolve claim, prior authorization, and customer service issues

Required qualifications

• High School Diploma / GED
• 2+ years of healthcare customer service experience
• 1+ years of medical claims experience
• 1+ years of experience in a call center environment
• Knowledge of medical codes (CPT, HCPCS, and/or ICD-10)