Customer Service Representative

Customer Service Representative
We are seeking dedicated and customer-focused Customer Service Representatives to support members, providers, and partners in a fast-paced healthcare call center environment. This role involves resolving inquiries related to health plans, coverage, claims, and service concerns across multiple channels (phone, written, and in-person).
Key Responsibilities

+ Handle high-volume inbound calls and written inquiries from members, providers, and partners

+ Resolve issues related to:

+ Medical coverage, claims, eligibility, referrals

+ Billing inquiries, fee quotes, and patient concerns

+ Appointment scheduling and service complaints

+ Provide accurate information while ensuring compliance with healthcare regulations

+ Document interactions and maintain detailed records with high accuracy

+ Deliver exceptional customer experience through strong communication and problem-solving
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