Customer Service Representative

Job Summary

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

Key responsibilities:

• Handle member inquiries and provide support for eligibility, benefits, billing, and complaints
• Document conversations and respond to complex calls, ensuring high-quality customer service
• Collaborate with internal departments to resolve issues and maintain compliance with privacy standards

Required qualifications:

• Minimum two (2) years of customer service or member-interacting experience
• High School Diploma or General Education Development (GED) required
• Must pass a Classification Assessment and knowledge checks during training
• Typing speed of at least 30 WPM, with a current typing test
• Familiarity with systems used within the Membership Service Contact Center (MSCC)