Customer Service Representative
Job Summary
Supporting healthcare providers and members, the full-time remote Customer Service Representative will manage inbound calls, address customer inquiries regarding benefits and eligibility, and ensure first contact resolution while working various shifts from Monday to Friday between 9 AM - 5 PM EST.
Key responsibilities
- Handle inbound calls from members and medical providers, addressing their needs and concerns
- Educate callers about network participation and update customer files effectively
- Collaborate with team members to contribute to customer satisfaction and business improvement
Required qualifications
- Experience in a high-volume call center, particularly with medical specialties, complaints, and appeals
- High school diploma with some college or business school education preferred
- Intermediate proficiency in Microsoft Office (Word, Excel, Access, PowerPoint, Outlook)
- General knowledge of HIPAA Confidentiality laws
- Strong time management skills and ability to adapt to changes
Complete Job Description
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