Customer Service Representative

Job Summary

A company is looking for a Customer Service Representative - CAC Blue Ridge (Remote).

Key Responsibilities

• Handle member/patient support inquiries, focusing on eligibility, prescription benefits, and claim payment issues
• Manage incoming calls, update billing information, establish payment plans, and resolve payment inquiries
• Document calls accurately and maintain compliance with HIPAA/privacy regulations

Required Qualifications

• High school diploma or equivalent
• 1+ year of customer service experience, preferably in healthcare or contact center environments
• Experience with eligibility, claims/payment resolution, billing updates, and appointment scheduling
• Proficiency with CRM/EMR or call-tracking systems
• Commitment to accuracy, confidentiality, and compliance with HIPAA regulations