Medical Customer Service Representative

Job Summary

Providing phone customer service to members of multiple benefit plans, the full-time Medical Customer Service Representative will analyze caller needs and deliver timely and accurate responses while working remotely.

Key responsibilities

• Answer over 50 calls daily regarding claims and benefit questions, providing solutions and confirming eligibility
• Communicate effectively in a fast-paced environment, addressing inquiries and resolving complaints professionally
• Document all call aspects clearly and concisely while maintaining confidentiality and adhering to service level standards

Required qualifications

• High school diploma or equivalent
• Practical knowledge of medical terminology and diagnosis/procedure coding preferred
• Experience in claims processing or customer service, particularly in a medical/dental office setting
• Proficiency in Microsoft Office applications and ability to navigate multiple computer screens
• 10-key proficiency of 105 spm net and typing speed of at least 25 wpm net