Customer Service Rep (Remote)

Why Consider This Job Opportunity

• Opportunity for career advancement and growth within the organization
• Work remotely with a flexible schedule
• Supportive and inclusive work environment
• Chance to make a positive impact on customer satisfaction and member experience
• Comprehensive training provided for new hires

What To Expect (Job Responsibilities)

• Serve as the primary liaison for members and providers regarding inquiries about eligibility, authorizations, claims, and policies
• Handle and resolve customer inquiries and complaints while maintaining exceptional service standards
• Research and triage customer issues using available resources
• Complete call logs to document customer interactions and actions taken
• Anticipate and meet customer expectations while building effective relationships

What Is Required (Qualifications)

• High School Diploma or equivalent
• Minimum of 4 years in a customer service environment
• Strong knowledge of customer service principles and practices
• Ability to resolve customer issues with patience and courtesy
• Capacity to work effectively under pressure in a fast-paced environment

How To Stand Out (Preferred Qualifications)

• Associate’s Degree or Bachelor’s Degree
• Bilingual (Spanish) or proficiency in another language
• 2+ years of experience in an HMO/Healthcare setting
• Familiarity with call center telephony and technology
• Understanding of medical terminology and medical coding

#HealthcareServices #CustomerService #RemoteWork #CareerOpportunity #DiversityAndInclusion

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