Remote Customer Service Representative

Job Summary

Providing exceptional support to members and providers, the full-time Remote Customer Service Representative will manage inbound inquiries via phone and email, ensuring accurate data input and high-quality service while promoting program benefits.

Key responsibilities:

• Identify and prioritize caller needs, formulating appropriate resolutions
• Maintain customer satisfaction and collaborate with other teams as necessary
• Utilize computer systems to document information and process inquiries accurately

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