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Health Plans Customer Service Advocate
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Job Description
- Req#: 79961
Employer Industry: Healthcare
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on member and provider experiences
- Contribute to a nationally recognized healthcare system
- Comprehensive training and development programs available
What to Expect (Job Responsibilities):
- Provide world-class customer service to members and providers, demonstrating empathy and expertise
- Answer phone inquiries in a call center environment, ensuring accuracy of information and service quality
- Explain claim adjudication processes, including deductibles, co-pays, and provider reimbursements
- Document phone calls in the system and follow up on issues as needed
- Resolve problems arising from claim adjudication and customer service inquiries
What is Required (Qualifications):
- One year of experience in customer service
- Demonstrated skills in customer service and communication
- Ability to work effectively both independently and as part of a team
- Strong organizational, time management, and multi-tasking abilities
- Computer competency in navigating multiple programs and resources
How to Stand Out (Preferred Qualifications):
- Experience in a healthcare-related customer service role
- Familiarity with claims processing and insurance inquiries
- Ability to handle customer service inquiries via email
#Healthcare #CustomerService #CareerOpportunity #Teamwork #ProfessionalDevelopment
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