Healthcare Customer Service Representative
Job Summary
To deliver exceptional customer service, the remote Healthcare Customer Service Representative will manage inbound and outbound communications with members and providers, researching claims, verifying insurance coverage, and resolving inquiries while ensuring compliance with healthcare regulations.
Key responsibilities
- Engage with providers and members through various communication channels, addressing inquiries with empathy and accuracy
- Document all interactions and feedback in the CRM or case management system, sharing insights for process improvement
- Meet or exceed established KPIs related to call quality, customer satisfaction, and adherence to quality standards
Required qualifications
- High school diploma or GED required
- 1-2 years of customer service experience, preferably in healthcare
- Strong organizational skills with the ability to multitask and navigate multiple systems
- Demonstrated ability to actively listen and respond with empathy to member and provider concerns
Complete Job Description
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