Customer Service Representative

Job Summary

A company is looking for a Customer Service Rep II to join their HealthFirst Team.

Key Responsibilities

• Provide exceptional service through various channels, maintaining ownership of member resolutions
• Educate members on benefit plans and healthcare resources, guiding them through their healthcare journey
• Resolve member complaints and ensure compliance with HIPAA guidelines during all interactions

Required Qualifications

• High school diploma or GED
• 1+ year of experience in the healthcare industry with direct member contact
• Experience in delivering client-focused solutions based on customer needs
• Preferred: 1+ year of telephonic verification of medical benefits and 2+ years in a benefits-focused role
• Preferred: Exposure to medical claims, including ICD-9/10 and CPT coding