Healthcare Customer Service Representative (Work from Home) - Remote

Overview

The Customer Service Representative provides support to providers and members by answering calls regarding insurance eligibility, benefits, claims, and service authorizations.

In Short

• Answering incoming calls from providers and members
• Provides eligibility, claims and authorization status
• Retrieves voice mails and responds
• Collaborates with internal and external partners to resolve issues
• Creates, tracks and completes Customer Service Incidents
• Participates in the discovery and resolution of recurring issues
• Ensures great customer relationships
• Uses customer service best practices
• Meets daily, weekly, monthly metrics
• Other duties as assigned

Requirements

• High School diploma or GED required
• 1-3 years in the Health Insurance Industry preferred
• 1-3 years of customer service experience required
• Claims payor experience preferred, but not required

Benefits

• Health benefits
• Life and disability benefits
• 401(k) savings plan with match
• Paid Time Off
• Paid holidays