Customer Service Representative

Job Summary

Working remotely in a full-time capacity, the Customer Service Representative will enhance customer satisfaction by providing accurate information and support to members, patients, and providers while managing inquiries related to various services and ensuring compliance with organizational guidelines.

Key responsibilities:

• Handle member inquiries regarding eligibility, benefits, billing, and complaints while documenting all interactions
• Initiate contact with relevant personnel to obtain information necessary for resolving customer concerns
• Support compliance with organizational standards and maintain the privacy and confidentiality of member information

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 knowledge checks during training
• Minimum typing speed of 30 WPM, with a current typing test
• Demonstrated understanding of relevant policies and processes related to customer service