Concierge Customer Service Representative

Job Summary

To provide exceptional customer service in a remote environment, the full-time Concierge Customer Service Representative will manage inquiries related to health benefits, assist members and providers, and handle precertification calls while maintaining accurate documentation.

Key responsibilities

• Respond to telephone and email inquiries from members and providers within defined service standards
• Negotiate with providers regarding plans without network agreements and assist members with healthcare questions
• Document all interactions in the system-based call log and manage incoming and outgoing calls related to precertification

Required qualifications

• Minimum of two years of customer service or call center experience in a healthcare-related role
• Associate degree or higher preferred; minimum high school diploma or GED required
• Strong understanding of medical terminology and provider organizations
• Proficiency in Microsoft applications and strong computer skills
• Experience with insurance verification or precertification preferred