Healthcare Customer Support Specialist

1 week ago


Virginia Beach, Virginia, United States Medix Full time

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.
Qualifications:
  • 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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