Commercial Health Call Center Representative

Job Summary

A company is looking for a Commercial Health Call Center Representative.

Key Responsibilities

• Research, review, and respond to inquiries from members and providers
• Handle escalations and manage member complaints effectively
• Accurately document calls and recognize trends for improvement

Required Qualifications

• Minimum of 2 years of customer service experience with a commercial health plan
• Knowledge of medical and insurance terminology, including CPT/ICD-10
• Experience collaborating with business and operational units
• Proficiency in Microsoft Office applications
• Must reside in the CST or EST time zones in the United States