Customer Service Representative - Remote

Overview

The Customer Service Representative is responsible for coordinating provider phone calls related to pre-treatment review status and Case Management call coordination, ensuring prompt and accurate responses to all inquiries.

In Short

• Answer phone calls regarding pre-treatment review and Case Management services.
• Provide clear and accurate responses to information requests.
• Document all calls in the Case Management platform.
• Return messages left in designated voice mailboxes.
• Follow up with callers for accurate information.
• Initiate referrals for Case Management when appropriate.
• Promote the use of external self-service tools.
• Assist in managing the incoming fax queue.
• Meet or exceed company standards for production and quality.
• Maintain regular and punctual attendance.

Requirements

• High school graduation or GED required; Bachelor's Degree preferred.
• Basic computer and customer service skills required.
• Medical terminology and coding experience preferred.
• Excellent oral and written communication skills.
• Ability to adapt to software changes.
• Strong interpersonal skills and teamwork.
• Ability to organize and recall detailed information.
• Ability to read and interpret insurance documents.
• Ability to work under pressure and meet deadlines.
• Professional image and positive attitude.

Benefits

• Opportunity to work from home.
• Comprehensive training provided.
• Supportive work environment.
• Engagement in meaningful work.
• Potential for career growth.