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Centrum Health · 5 hours ago

Healthcare Customer Service Representative (Work from Home)

United States

Full-time

Remote

Entry Level

$17.63/hr - $26.44/hr

1+ years exp

NeueHealth is a value-driven healthcare company committed to making healthcare accessible and affordable. The Membership Enrollment - Customer Service Representative will support providers and members by answering calls regarding eligibility, benefits, claims, and service authorizations, ensuring a positive customer experience.

DentalHealth CareHospitalMedicalPrimary and Urgent Care

Responsibilities

Answers incoming calls from providers and members

Provides eligibility, claims and authorization status

Retrieves voice mails and responds

Collaborates with internal and external partners to resolve issues from providers or members as they relate to claims payment, authorization and eligibility inquiries

Creates, tracks and completes Customer Service Incidents to internal departments to resolve caller issues

Participates in the discovery and resolution of root cause for recurring issues

Ensures that all customer needs and problems are properly communicated and managed in a way that maintains great customer relationships

Uses customer service best practices to ensure a positive customer experience

Meets daily, weekly, monthly metrics as written

Other duties and responsibilities as assigned

Qualification

Health Insurance IndustryCustomer Service ExperienceClaims Payor ExperienceRegulatory ComplianceTeam Unity MindsetCommunication SkillsOrganizational SkillsDetail Oriented