Customer Service Representative

Responsibilities

• Answer incoming calls from members and providers and follow-up with outbound calls as necessary
• Resolve general member and provider issues by phone or email
• Identify and escalate issues as necessary
• Recognize and document trends or problems in operations and alert management
• Provide accurate health sharing information and service to members and providers
• Obtain and review medical records as necessary
• Ensure member information and eligibility is accurate and up to date
• Explain detailed information regarding eligibility to both members and providers

Requirements

• High School Diploma and/or GED required
• At least 1 year of customer service experience
• Familiarity with medical policies, procedures, and HIPAA
• Proficiency in Google Suite and Microsoft Outlook
• Experience with call center phone software

Preferred Qualifications

• Healthcare experience reviewing or verifying medical records
• Associates degree or higher
• Salesforce knowledge

Benefits

• HMO with 1 free dependent upon hire
• Life Insurance
• 10% Night Differential
• 20 PTO credits annually
• VL and SL cash conversion
• Annual Performance-Based Merit Increases and Employee Recognition
• Company provided laptop