Remote Customer Service Representative

Job Summary

Working remotely on a full-time basis, the Customer Service Representative will review grievance and appeals documents, accurately classify dispute types, and manage data entry tasks while adhering to HIPAA and client-specific guidelines.

Key responsibilities

• Review and assess incoming grievance and appeals documents for completeness and relevance
• Accurately identify and classify dispute types according to client-specific guidelines
• Enter and normalize member information into internal systems and client platforms while ensuring compliance with data privacy regulations

Required qualifications

• High school diploma or equivalent
• Experience in healthcare or customer service environments
• Familiarity with HIPAA regulations and data privacy standards
• Proficiency in using multiple client systems and data entry platforms
• Ability to meet productivity and quality standards consistently