Customer Service Representative

Job Summary

A company is looking for a Customer Service Representative I.

Key Responsibilities

• Serve as the first point of contact for members and healthcare providers, assisting with inquiries about eligibility and benefits
• Resolve problems faced by members and providers with accuracy and efficiency
• Document customer interactions and transactions using the company's CRM system and meet established performance goals

Required Qualifications, Training, and Education

• Bilingual in Spanish & English is highly desired
• High School Diploma/GED is required
• 1-2 years of customer service experience in a healthcare setting is required
• At least 1 year of experience in a call center environment managing inbound calls is required
• Familiarity with healthcare terminology and understanding of health plan benefits is strongly preferred