Customer Service Representative

Job Summary

A company is looking for a Customer Service Representative/Data Entry.

Key Responsibilities

• Review and assess incoming Grievance and Appeals documents for completeness and relevance
• Accurately classify dispute types and assign the correct Line of Business based on guidelines
• Access client systems to verify member information and enter data accurately into internal systems

Required Qualifications

• High school diploma or equivalent
• Experience in customer service or data entry roles
• Familiarity with HIPAA and data privacy regulations
• Ability to work in a fast-paced environment and meet productivity standards
• Willingness to participate in training and quality audits