Customer Service Representative

This is a fully remote position, open to applicants in New Mexico.

📋 Description

• Offer expertise on provider networks, referrals, and pre-authorizations.

• Diagnose and resolve issues related to billing, payments, and coverage.

• Ensure adherence to HIPAA regulations when managing sensitive member information.

• Work collaboratively with internal departments to address complex member issues.

• Keep precise records of customer interactions and resolutions within CRM systems.

• Achieve performance targets such as response time, resolution rate, and customer satisfaction scores.

• Remain informed about policies, state regulations, and changes in the healthcare industry.

⛳️ Requirements

• Prior experience in customer service, ideally within healthcare or insurance sectors.

• Excellent verbal and written communication abilities.

• Strong independent decision-making and problem-solving skills, with the capacity to maintain composure under pressure.

• Capable of effectively managing high volumes of calls, chats, and emails.

• Proficient in computer applications, including CRM and customer support tools.

• Flexibility to work various shifts, including weekends and holidays.

• Must be at least 18 years old.

• High school diploma or equivalent required.

• Must be a resident of New Mexico.

🏝️ Benefits

• Paid training.

• A culture that celebrates YOU.

• Opportunities for growth and advancement.

• A supportive team that has your back.