Access Mental Health Customer Care Rep III
Core
Review insurance claims and policies, respond to inquiries from policyholders and providers, and coordinate provider schedules and consultations.
Role type
Senior IC customer care representative (health insurance)
Builds
Operational workflows for consultation services and insurance claim processing
Domain
Health insurance / Customer service
Deliverable
client delivery
Required skills
Policy interpretation, multi-tasking, record maintenance, research, outbound calling, handling calls/texts/faxes/electronic queues
Preferred skills
Bachelor's degree in Health Care, call center experience, problem-solving, analytical skills, digital tool proficiency
Responsibilities
Respond to inquiries from policyholders and providers; Coordinate provider schedules and face-to-face consultations; Maintain program documentation and encounter forms; Perform research to interpret policy provisions; Conduct outbound calls in the ZipDrug business area; Handle multiple communication channels simultaneously.