Customer Service Representative

Job Description

Summary :

We are seeking an experienced Call Center Representative with a background in handling medical insurance. The ideal candidate will have excellent communication skills, a strong understanding of medical insurance processes, and the ability to provide exceptional customer service in a fast-paced environment.

Key Responsibilities :

• Handle inbound and outbound calls related to medical insurance inquiries, claims, and billing.
• Assist patients, providers, and insurance companies with questions regarding insurance coverage, benefits, and eligibility.
• Process insurance claims, authorizations, and referrals accurately and efficiently.
• Resolve customer complaints and issues with professionalism and empathy.
• Maintain detailed and accurate records of customer interactions and transactions in the database.
• Provide information and guidance on insurance policies, procedures, and regulations.
• Collaborate with other departments to ensure seamless customer service and issue resolution.
• Stay up-to-date with changes in insurance policies and procedures to provide accurate information to customers.

Qualifications :