Remote Customer Service Representative

Job Summary

Providing exceptional service to members and providers, the full-time Remote Customer Service Representative will handle inbound inquiries via phone and email, input data accurately, and ensure customer satisfaction while managing routine and complex calls.

Key responsibilities:

• Identify and prioritize caller needs, formulating appropriate resolutions
• Maintain customer satisfaction by collaborating with other teams and following up on escalated issues
• Educate callers on program benefits and accurately document communications using computer tools

Required qualifications:

• High School Diploma
• Prior experience in a customer service-related field preferred
• Knowledge of medical records and key elements of a valid ROI request
• Understanding of HIPAA regulations preferred
• Bilingual in Spanish and English preferred