[Remote] Healthcare Customer Service Representative (Work from Home)
Note: The job is a remote job and is open to candidates in USA. NeueHealth is a value-driven healthcare company committed to making healthcare accessible and affordable. The Membership Enrollment - Customer Service Representative will support providers and members by answering calls regarding eligibility, benefits, claims, and service authorizations, ensuring a positive customer experience.
Responsibilities
- Answers incoming calls from providers and members
- Provides eligibility, claims and authorization status
- Retrieves voice mails and responds
- Collaborates with internal and external partners to resolve issues from providers or members as they relate to claims payment, authorization and eligibility inquiries
- Creates, tracks and completes Customer Service Incidents to internal departments to resolve caller issues
- Participates in the discovery and resolution of root cause for recurring issues
- Ensures that all customer needs and problems are properly communicated and managed in a way that maintains great customer relationships
- Uses customer service best practices to ensure a positive customer experience
- Meets daily, weekly, monthly metrics as written
- Other duties and responsibilities as assigned
Skills
- High School diploma or GED
- One (1) to three (3) years of customer service experience
- Strong communication skills, both verbal and written
- Organized and able to prioritize work to meet deadlines
- Able to work independently with little supervision
- Able to understand regulatory and compliance rules
- Results and detail oriented
- To be positive and accountable
- Team unity mindset
- One (1) to three (3) years in the Health Insurance Industry
- Claims payor experience
Benefits
- Health benefits
- Life and disability benefits
- A 401(k) savings plan with match
- Paid Time Off
- Paid holidays
Company Overview