Job Description
Our Customer Service Representatives are responsible for answering the phones in a timely manner, being a skilled problem solver, have the ability to work well with others along with meeting set quality standards.
Be courteous and professional while providing information to callers. Plus additional projects and assistance with mailing projects as needed.
WHAT YOU’LL BE DOING
Assuring the accurate and timely handling of client and member calls with total follow through
Providing excellent customer service
Answering client and provider questions including, but not limited to claims payment, status and coverage information
Interpreting client health plan protocol
Backup to the claims processing area by assisting with reports and workflow queues as assigned
Check tracer documentation
Maintaining accurate and complete call documentation
Maintaining high level of professionalism
Returning incoming calls
Other duties as assigned
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