Customer Service Representative
About The Position
Answer incoming phone calls from members covered by our client company health benefit plans and identify the type of assistance the customer needs. Make outbound calls to members about their claims. Investigate requests and problems, with some assistance from others. Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems. Intervene with care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed. Assist and educate providers about the client benefit plan, including contracting opportunities with our company on behalf of the client.
Requirements
- Prior phone customer service experience required
Nice To Haves
- Experience in health care benefits, insurance claims processing, or medical provider billing preferred but not required
Responsibilities
- Answer incoming phone calls from members covered by our client company health benefit plans and identify the type of assistance the customer needs
- Make outbound calls to members about their claims
- Investigate requests and problems, with some assistance from others
- Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
- Intervene with care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed
- Assist and educate providers about the client benefit plan, including contracting opportunities with our company on behalf of the client
Benefits
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
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What This Job Offers
Career Level
Entry Level
Education Level
No Education Listed
