Call Center Customer Service Representative - 246292

Join Our Team as a Patient Services / Call Center Representative!

Are you a compassionate and experienced customer service professional looking to make a real difference in healthcare? We are seeking a dedicated Call Center Customer Service Representative to be the first point of contact for our members, providers, and advocates. If you are a strong communicator, a quick learner, and thrive in a fast-paced environment, we encourage you to apply!

As a vital member of our Patient Services team, you will handle first-level calls and provide essential support, including :

• Answering and resolving a high volume of incoming calls from members, potential members, providers, and advocates.
• Handling core inquiries such as member eligibility verification, general program and administration questions, and benefits and services.
• Providing essential information to members regarding access to care, coordination of care, and benefits.
• Troubleshooting and triaging calls to the appropriate internal units or outside entities to ensure seamless service.
• Ensuring compliance with Health Insurance Portability and Accountability Act ( HIPAA ) regulations at all times.
• Verifying member demographics and confirming insurance information.

Required Education & Experience :

Required Skills :

Bonus Skills :

Details