Concierge Customer Service Representative - Remote

Overview

This is a critical position requiring excellent customer interaction skills. Individuals are expected to accurately service and satisfy customers by responding to customer inquiries. Concierge Customer Service Representative needs to be versatile and equipped with a strong skill set to handle the complexity of the job.

In Short

• Remote position with no requirement to commute to an office.
• Respond to customer inquiries via telephone and email.
• Assist members with benefits and healthcare questions.
• Document all calls received in system-based call log.
• Negotiate with providers for acceptance of plans.
• Handle confidential and sensitive information.
• Excellent data entry and typing skills required.
• Strong customer relations and interpersonal skills needed.
• Ability to multi-task and anticipate potential needs/problems.
• Independent judgment in decision making and problem solving.

Requirements

• Minimum HS Diploma/GED; 2 years college preferred.
• One year Customer Service / Call Center experience in healthcare.
• Bilingual English-Spanish is a plus.
• Knowledge of provider organizations and networks.
• Understanding of CMS Medicare reimbursement rates.
• Strong analytical and research skills.
• Ability to build relationships with internal and external customers.
• Medical terminology knowledge is a plus.
• Claim processing skills are a plus.
• Insurance verification or pre-certification experience is a plus.

Benefits

• Equal Opportunity Employer, including disability/veterans.