Customer Service Representative

Primary Responsibilities

• Create a welcoming experience by authentically engaging every caller, every time.
• Make a connection with customers by engaging in friendly and genuine conversation throughout each call to provide a world-class experience.
• Interact with team and co-workers in a supportive and purpose-driven environment.
• Thoroughly and accurately answer questions about customers’ healthcare accounts.
• Thoughtfully listen to callers’ needs and provide appropriate solutions.
• Demonstrate a culture of ethical conduct, safety, and compliance.
• Handle 35-50+ inbound and outbound phone calls per day.
• Work closely with claim staff to make warranted adjustments to claims.

Qualifications

• 2+ years of customer service experience; 1+ years in a TPA or payer setting.
• Experience with self-funded plans preferred.
• Bachelor’s degree or medical billing/coding certification.
• Additional TPA or payer experience.
• Strong communication, multitasking, and computer skills (Microsoft Office).
• Ability to work remotely and handle prolonged computer-based tasks.