Concierge Customer Service Representative

Job Summary

To support customer satisfaction in a remote environment, the full-time Concierge Customer Service Representative II will manage inquiries related to health benefits, negotiate with providers, and assist members with healthcare questions while documenting interactions in the system.

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 with precertification calls
• Document all interactions in the system-based call log and verify patient and provider information as needed

Required qualifications:

• Minimum of two years of customer service or call center experience in a healthcare-related role
• Associate degree or higher preferred, or a minimum of a high school diploma or G.E.D
• Proficient with Microsoft applications and strong computer navigation skills
• Knowledge of provider organizations, networks, and CMS Medicare reimbursement rates
• Experience in medical intake or related fields is a plus