Customer Service Representative

Job Summary

Providing exceptional support to members and patients, the full-time remote Customer Service Representative will manage inquiries related to eligibility, benefits, and billing while ensuring high levels of customer satisfaction and compliance with organizational guidelines.

Key responsibilities:

• Handle and document member inquiries across various service areas, including eligibility and billing issues
• Respond to complex calls and escalate issues as necessary, ensuring a high standard of customer service
• Maintain compliance with privacy regulations and organizational policies while supporting member retention efforts

Required qualifications:

• Minimum two (2) years of customer service experience or experience interacting with members
• High School Diploma or General Education Development (GED) required
• Must pass a Classification Assessment and achieve a minimum typing speed of 30 WPM
• Demonstrated ability to effectively interact with diverse work units and organizational departments
• Ability to manage work with minimal direction and complete required training successfully