Customer Service Representative

Job Summary

Working remotely on a full-time basis, the Customer Service Representative will manage calls from medical providers regarding patient claims, prior authorizations, and member eligibility while ensuring compliance with HIPAA regulations and maintaining productivity standards.

Key responsibilities

• Answer calls from medical providers and resolve issues on the first call
• Document provider issues in the system to facilitate reporting
• Meet established productivity, schedule adherence, and quality standards consistently

Required qualifications

• High School Diploma / GED
• Must be 18 years of age or older
• 1+ years of customer service experience
• 1+ years of call center experience
• Knowledge and experience with Microsoft Office applications