Customer Service Representative
Job Summary
Seeking a dedicated Customer Service Representative to provide exceptional support in a remote call-center environment, handling inbound inquiries related to health plan benefits, eligibility, and claims while ensuring compliance with HIPAA regulations.
Key responsibilities
- Respond to incoming calls from members and providers regarding benefits, eligibility, and claims status
- Research and resolve issues independently or in collaboration with other departments, escalating complex matters as needed
- Document all interactions accurately and maintain knowledge of plan designs and policies
Required qualifications
- Must reside in Central or Eastern Time Zones
- High school diploma or equivalent required
- Minimum of 1-2 years of customer service experience, preferably in healthcare or health insurance
- Familiarity with health plans and benefits administration
- Bilingual skills in English and Spanish are a plus
Complete Job Description
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