Member Customer Service Representative
Core
Provide inbound and outbound customer service support to members and healthcare providers, resolving inquiries and claims status issues via phone and email.
Role type
Customer Service Representative
Builds
Customer support interactions and claims status resolutions for members and healthcare providers
Domain
Healthcare / Insurance
Deliverable
client delivery
Required skills
Phone communication, claims research, documentation, conflict resolution, Microsoft Office proficiency, keyboarding, compliance adherence
Preferred skills
Healthcare/insurance/claims experience, recorded-screen environment experience
Responsibilities
Handle inbound and outbound phone-based customer service interactions, research claims status and routine inquiries, follow up on outstanding or pended items, document member and provider interactions, support members and healthcare providers across multiple locations, work against established quality and performance expectations
Seniority
Individual Contributor