Texas Licensed Health Plan Representative

Job Summary

A company is looking for a Health Plan Contact Center Representative to support members and provider inquiries.

Key Responsibilities

• Answer incoming calls and assist customers with inquiries related to benefits, eligibility, billing, and authorizations
• Document call details accurately and provide informed responses to customer queries
• Research complex issues and ensure resolution while adhering to privacy protocols and performance goals

Required Qualifications

• High School Diploma / GED
• 1+ year of customer service call center experience with a payer
• Familiarity with computer applications and healthcare terminology
• 1+ year experience with healthcare claims and eligibility data
• Ability to learn new and complex computer system applications