Concierge Customer Service Representative

Job Summary

A company is looking for a Concierge Customer Service Representative II.

Key Responsibilities:

• Respond to telephone and email inquiries from members and providers within defined service standards
• Negotiate with providers for acceptance of plans without network agreements and assist members with healthcare questions
• Document calls in a system-based call log and handle incoming precertification calls

Required Qualifications:

• Minimum High School Diploma or G.E.D; Associate degree or higher preferred
• Two years of customer service or call center experience in a healthcare-related role
• Proficient with Microsoft applications and strong computer skills
• Knowledge of provider organizations, networks, and CMS Medicare reimbursement rates
• Medical terminology knowledge and experience in medical intake preferred