Concierge Customer Service Representative

Job Summary

To support a critical senior-level customer service function, the full-time Concierge Customer Service Representative will manage customer inquiries regarding health benefits, negotiate with providers, and document interactions while working remotely.

Key responsibilities

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

Required qualifications

• Minimum of two years of customer service or call center experience in a healthcare-related role
• Strong proficiency with Microsoft applications and excellent data entry skills
• Knowledge of provider organizations, networks, and CMS Medicare reimbursement rates
• Associate degree or higher preferred; minimum high school diploma or G.E.D. required
• Experience with medical intake, insurance verification, or precertification is a plus