Job Summary
A company is looking for a Customer Service Representative Senior - Remote in CA.
Key Responsibilities
- Receive and resolve customer concerns regarding claims, authorizations, and IPA functionality
- Act as a liaison between physicians, health plans, and IPA staff while logging issues for follow-up
- Participate in training new staff and maintain departmental quality standards
Required Qualifications
- Must be 18 years of age or older
- 1+ years of experience in a Medicare and HMO environment
- 1+ years of claims processing or customer service experience
- Experience interpreting provider and health plan contracts
- Ability to work full time with flexibility for shift schedules
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