Client Services Representative

4 days ago


Lake Forest, California, United States PrideStaff Full time
Job Summary

PrideStaff is seeking a highly skilled Client Services Representative to join our team. As a Client Services Representative, you will be responsible for providing exceptional customer service to clients, policyholders, and healthcare providers.

Key Responsibilities:

  • Collaborate with clients, policyholders, and healthcare providers to resolve medical cases and provide referrals to clinics and hospitals.
  • Ensure timely and accurate responses to client inquiries and provide updates on claim status.
  • Develop and maintain effective relationships with colleagues and network partners.
  • Review and resolve medical cases in cooperation with other team members and network partners.
  • Provide excellent customer service and ensure clients receive the best possible experience.

Requirements:

  • 1+ years of experience processing medical, dental, prescription, or mental health claims.
  • 1+ years of customer service experience in a business-to-business setting or in a medical office, healthcare, call center, or office setting.
  • Familiarity with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications.
  • Demonstrated ability to listen skillfully, collect relevant information, build rapport, and respond to customers in a compassionate manner.
  • Proficient in translating healthcare-related jargon and complex processes into simple, step-by-step instructions that customers can understand and act upon.
  • Flexible and able to work in a fast-paced and developing environment.
  • Able to thrive in an environment working independently, but also collaboratively.
  • Professional phone skills required.


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