Customer Service Representative

Job Summary

Providing exceptional support to members and patients, the full-time remote Customer Service Representative will handle inquiries, resolve issues, and build rapport while ensuring compliance with organizational guidelines.

Key responsibilities:

• Manage member inquiries related to eligibility, benefits, billing, and complaints, ensuring accurate and timely responses
• Document conversations and interactions according to established procedures to maintain compliance and service quality
• Collaborate with internal teams to obtain necessary information and resolve complex customer issues effectively

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 Classification Assessment and achieve a minimum typing speed of 30 WPM
• Ability to understand and apply relevant policies and processes effectively
• Demonstrated analytical skills and ability to manage work with minimal direction