California Licensed Customer Service Rep

A company is looking for a Healthcare Customer Service Representative (Work from Home).

Key Responsibilities

Answer incoming calls from providers and members regarding eligibility, claims, and authorization status

Collaborate with internal and external partners to resolve issues related to claims payment and eligibility inquiries

Create and track Customer Service Incidents to resolve caller issues and ensure a positive customer experience

Required Qualifications

High School diploma or GED required

One (1) to three (3) years of customer service experience required

One (1) to three (3) years in the Health Insurance Industry preferred

Claims payor experience preferred, but not required