Customer Service Representative II

Job Summary

To enhance customer satisfaction and retention, the full-time remote Customer Service Representative II will manage complex inquiries and provide accurate information to members, patients, and providers while building rapport and maintaining compliance with guidelines.

Key responsibilities:

• Handle member inquiries across various services, including eligibility, billing, and claims
• Document all interactions and coordinate with relevant personnel to resolve issues effectively
• Support department goals by ensuring compliance with performance guarantees and maintaining member confidentiality

Required qualifications:

• Minimum of 2.5 years of customer service experience, including 6 months as a Customer Service Representative I
• High School Diploma or General Education Diploma (GED) required
• Must pass a Classification Assessment and have a minimum typing speed of 30 WPM
• Strong knowledge of systems used within the Member Service Contact Center
• Ability to manage work with minimal direction and pass knowledge checks during training