Commercial Health Call Center Rep

A company is looking for a Commercial Health Call Center Representative.

Key Responsibilities

Provide accurate information on health plan benefits, eligibility, and claims through inbound and outbound calls and email inquiries

Manage escalations and coordinate problem-solving with internal departments and external partners

Document calls accurately and recognize trends to suggest improvements to leadership

Required Qualifications

Minimum of 2 years of customer service experience supporting a commercial health plan

Knowledge of medical and insurance industry terminology, including CPT / ICD-10 and HCPCS

Proficiency in Microsoft Office applications and experience with CRM systems, preferably SalesForce

Ability to work in a fast-paced, remote environment with established attendance and schedule adherence

Must reside in the CST or EST time zones in the United States