Customer Service Representative

Job Summary

Working remotely on a full-time basis, the Customer Service Representative will enhance customer satisfaction by providing accurate and timely information to members, patients, and providers while managing inquiries related to various services and issues.

Key responsibilities:

• Handle member inquiries regarding eligibility, benefits, billing, and service reviews, ensuring compliance with organizational guidelines
• Document all incoming contacts and respond to complex calls related to specialized product lines
• Initiate contact with relevant personnel to obtain necessary information and coordinate service recovery as needed

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 have a minimum typing speed of 30 WPM
• Ability to effectively interact with diverse work units and understand relevant policies and processes
• Must pass knowledge checks while in training