California Licensed Customer Service Rep

Job Summary

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

Key Responsibilities

• Answer incoming calls from providers and members regarding insurance eligibility, benefits, claims, and service authorizations
• Collaborate with internal and external partners to resolve issues related to claims payment, authorization, and eligibility inquiries
• Create, track, and complete Customer Service Incidents to resolve caller issues and meet performance metrics

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