Healthcare Customer Support Specialist
1 week ago
Are you seeking a rewarding opportunity in the healthcare sector? Medix is looking for several Customer Services Representatives to support a prominent healthcare organization.
Position Overview:
As a Customer Services Representative, you will play a crucial role in assisting members with their inquiries and ensuring they receive the best possible service.
Key Responsibilities:
- Address member inquiries through various communication channels, including phone, email, and chat, ensuring accurate and prompt responses regarding their insurance coverage and benefits.
- Investigate and resolve billing issues, coverage questions, claims concerns, and other member-related matters to uphold high satisfaction levels.
- Provide clear explanations of insurance benefits, policy details, and procedures to help members navigate their plans effectively.
- Assist members with the claims process, including tracking claim statuses, clarifying decisions, and supporting necessary follow-ups or appeals.
- Maintain comprehensive records of member interactions, documenting inquiries, issues, and resolutions in line with company policies.
- Comply with regulatory standards and internal policies, staying updated on changes in insurance regulations and procedures.
- Collaborate with various departments, such as claims and enrollment, to resolve complex issues and deliver thorough support to members.
- Identify areas for process enhancement and provide constructive feedback to improve the overall customer service experience.
- High School Diploma or equivalent.
- 1 - 3 years of experience in customer service.
- Strong communication skills.
- Proficiency in computer applications.
- Problem-solving and conflict resolution abilities.
- Previous experience in customer service, particularly in healthcare or insurance environments.
We encourage qualified candidates to consider this opportunity.
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