Healthcare Customer Service Representative (Work from Home)

NeueHealth

3d•$18 - $26•Remote

About The Position

NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. The Membership Enrollment - Customer Service Representative provides support to providers and members by answering calls regarding eligibility, benefits, claims, and service authorizations.

Requirements

High School diploma or GED required.
One (1) to three (3) years of customer service experience required.
Strong communication skills, both verbal and written
Organized and able to prioritize work to meet deadlines
Able to work independently with little supervision
Able to understand regulatory and compliance rules
Results and detail oriented
To be positive and accountable
Team unity mindset

Nice To Haves

One (1) to three (3) years in the Health Insurance Industry preferred.
Claims payor experience preferred, but not required.

Responsibilities

Answers 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 from providers or members as they relate to claims payment, authorization and eligibility inquiries.
Creates, tracks and completes Customer Service Incidents to internal departments to resolve caller issues.
Participates in the discovery and resolution of root cause for recurring issues.
Ensures that all customer needs and problems are properly communicated and managed in a way that maintains great customer relationships.
Uses customer service best practices to ensure a positive customer experience.
Meets daily, weekly, monthly metrics as written.
Other duties and responsibilities as assigned.