Health Insurance Customer Service Representative

3 days ago


Rockville, United States ROCS Grad Staffing Full time

Job Summary:

We are seeking an experienced Health Insurance Customer Service Representative with a background in handling medical insurance at an insurance company. The ideal candidate will have excellent communication skills, a strong understanding of medical insurance processes, and the ability to provide exceptional customer service in a fast-paced environment.

Key Responsibilities:

  • Handle inbound and outbound calls related to medical insurance inquiries, claims, and billing.
  • Assist patients, providers, and insurance companies with questions regarding insurance coverage, benefits, and eligibility.
  • Process insurance claims, authorizations, and referrals accurately and efficiently.
  • Resolve customer complaints and issues with professionalism and empathy.
  • Maintain detailed and accurate records of customer interactions and transactions in the database.
  • Provide information and guidance on insurance policies, procedures, and regulations.
  • Collaborate with other departments to ensure seamless customer service and issue resolution.
  • Stay up-to-date with changes in insurance policies and procedures to provide accurate information to customers.

Qualifications:

  • Must have 1 year or more of experience in a medical insurance call center environment. Specifically, a candidate who has worked for Aetna, Blue Cross Blue Shield, UHC, Kaiser, or any other medical insurance plan.
  • High school diploma or equivalent; Associate's or Bachelor's degree preferred.
  • Minimum of 2 years of experience in a call center or customer service role, with a focus on medical insurance.
  • Strong knowledge of medical insurance terminology, processes, and regulations.
  • Excellent verbal and written communication skills.
  • Proficiency in using customer service software and databases.
  • Ability to multitask and manage time effectively in a fast-paced environment.
  • Strong problem-solving skills and attention to detail.
  • Ability to work independently and as part of a team.
  • Bilingual skills (preferred but not required).


  • Rockville, United States ROCS Grad Staffing Full time

    Job Summary:We are seeking an experienced Health Insurance Customer Service Representative with a background in handling medical insurance at an insurance company. The ideal candidate will have excellent communication skills, a strong understanding of medical insurance processes, and the ability to provide exceptional customer service in a fast-paced...


  • Rockville, United States U-Haul Full time

    Location: 12025 Parklawn Dr, Rockville, Maryland 20852 United States of America Are you a people person? Do you love helping others? U-Haul is in search of friendly, motivated people for the position of Customer Service Representative. As a Customer Service Representative, you will work as part of a supportive team to be the face of U-Haul company's...


  • Rockville, Minnesota, United States New York Life Insurance Company Full time

    Job OverviewNew York Life is a Fortune 100 company with a long history of doing good. We have been in business for over 175 years, helping generations of Americans protect their families and attain their financial goals.We are seeking an experienced Financial Services Representative to join our team. The ideal candidate will have a strong background in sales...


  • Rockville, United States AutoNation Full time

    AutoNation is one of the largest automotive retailers in the United States, offering innovative products, exceptional services, and comprehensive solutions, empowering our customers to make the best decisions for their needs. With a network of dealerships nationwide strengthened by a recognized brand, we offer a wide variety of new and used vehicles,...


  • Rockville, United States JOOLA Full time

    JOOLA is for looking for an experienced Customer Service Representative with a passion for growth and interest in pickleball and table tennis! JOOLA was first established in 1952 and built a global reputation as a pioneer in table tennis. In 2022, JOOLA expanded into the rapidly growing pickleball scene and quickly attracted the biggest names in the sport....


  • Rockville, United States JOOLA Full time

    JOOLA is for looking for an experienced Customer Service Representative with a passion for growth and interest in pickleball and table tennis!JOOLA was first established in 1952 and built a global reputation as a pioneer in table tennis. In 2022, JOOLA expanded into the rapidly growing pickleball scene and quickly attracted the biggest names in the sport. As...


  • Rockville, United States JOOLA Full time

    JOOLA is for looking for an experienced Customer Service Representative with a passion for growth and interest in pickleball and table tennis!JOOLA was first established in 1952 and built a global reputation as a pioneer in table tennis. In 2022, JOOLA expanded into the rapidly growing pickleball scene and quickly attracted the biggest names in the sport. As...


  • Rockville, United States C & B Material Handling Full time

    C & B Material Handling, LLC (part of the C & B Equipment family), a leader and supplier of choice in material handling equipment, automation solutions, and industrial equipment rental, is seeking a Material Handling Customer Service Representative for our location in Richmond, Virginia. In this role, you will be responsible for driving parts and service...


  • Rockville, United States AutoNation Full time

    AutoNation - Job Posting Location [Customer Service Representative] As a Customer Service Representative at AutoNation, you'll: Receive all incoming service calls, establish relationships with the customers and schedule appointments for the Service Department; Ask the customer qualifying questions to uncover needs and direct calls appropriately; Ensure that...


  • Rockville, Maryland, United States BENDER JCC OF GREATER WASHINGTON Full time

    Job SummaryWe are seeking a highly motivated and detail-oriented Customer Service Representative to join our team at the Bender JCC of Greater Washington. As a key member of our front desk staff, you will be responsible for providing exceptional customer service to members and guests, answering phone calls, processing transactions, and performing various...


  • Rockville, Maryland, United States LCG, Inc. Full time

    **About LCG, Inc.**We are a minority-owned technology consulting firm that has been a trusted partner to more than 40 federal agencies, including 21 of the 27 Institutes and Centers (ICs) at the National Institutes of Health (NIH). For over 25 years, we have brought digitization and innovation to the Health and Human Services (HHS) and the NIH...


  • Rockville, United States Randstadusa.com Full time

    100% remote but MUST be local to Rockville MDContract to hire$24 an hourMUST HAVE A 4 YEAR DEGREE*possibility of growth in Financial fieldMust be local to MD We are seeking a friendly and enthusiastic Customer Service Representative to join our team. The ideal candidate will be passionate about delivering exceptional customer service, resolving inquiries,...


  • Rockville, Minnesota, United States Addison Group Full time

    Job Title: Customer Service Representative - Contract PositionAbout the Role:We are seeking a team of motivated and articulate Customer Service Representatives to join us in a contract capacity. In this role, you will be the first point of contact for our valued customers, providing exceptional service through phone, email, and chat...


  • Rockville, United States Adventist HealthCare Full time

    Shady Grove Medical Center Adventist HealthCare seeks to hire an experienced Customer Support Representative ll for our Volunteer Services Department at our Shady Grove Medical Center Location who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. As a Customer Support Representative ll you...


  • Rockville, United States TEKsystems Full time

    Job DescriptionJob DescriptionDescription:They will work with their members to walk through, answer questions, and collect via their insurance plan. They will obtain and maintain a working knowledge of the basic plan provisions and multiple benefit schedules, as well as a clear understanding of the eligibility system, claim system, and Reciprocity system...


  • Rockville, United States Nothing Bundt Cakes Full time

    Benefits: Employee discounts Health insurance Paid time off At Nothing Bundt Cakes, we refer to our guest services representatives as Joy Creators! A Joy Creator sweetens up the place, setting the mood and making a stop in the bakery an event worth p Guest Service, Representative, Service, Bakery, Guest, Restaurant


  • Rockville, United States Heritage-Crystal Clean, LLC Full time

    Sales & Service Representative   Crystal Clean (CC) is one of the nation’s leading privately held companies in the environmental waste services industry. We are seeking highly motivated individuals with a strong work ethic to join our rapidly growing company. Crystal Clean offers competitive compensation, excellent benefits, and opportunities for...


  • Rockville, United States Adventist HealthCare Full time

    Shady Grove Medical Center If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist HealthCare seeks to hire an experienced Customer Support Representative ll for our Volunteer Services Department at our Shady Grove Medical Center Location who will embrace our mission to extend God's care...


  • Rockville, Maryland, United States Spirit Halloween Full time

    About the RoleWe are looking for a dynamic individual to work as a Sales Associate at Spirit Halloween. In this role, you will be responsible for providing excellent customer service, maintaining a clean and organized store environment, and achieving sales goals.


  • Rockville, Maryland, United States DogiZone Full time

    OverviewDogiZone is a leading pet care center dedicated to providing exceptional service and care for dogs and their owners.We're seeking highly motivated and friendly individuals to join our team as Front Desk Receptionists, ensuring a positive experience for all customers.