Senior Customer Service Representative

Job Summary

Working remotely on a full-time basis, the Senior Customer Service Representative will manage customer concerns, serve as a liaison between healthcare providers and plans, and ensure timely resolution of issues while adhering to corporate guidelines.

Key responsibilities:

• Receive and record customer concerns via phone, resolving issues related to claims and authorizations
• Function as a liaison between physicians, health plans, and IPA staff to ensure accurate communication
• Log issues into the Customer Service Tracking database and maintain standards for quality and quantity of calls

Required qualifications:

• High School Diploma / GED or equivalent work experience
• 1+ years of experience in a Medicare and HMO environment
• 1+ years of claims processing or claims customer service experience
• 1+ years of authorization/referral processing experience
• Experience with spreadsheet applications such as Microsoft Excel