Customer Service Representative Healthcare Part Time Dallas Office

4 days ago


Dallas, Texas, United States Long Island Community Hospital Full time
Job Overview
We are seeking a skilled Customer Service Representative to join our team at Qlarant in Dallas. This is a part-time opportunity with a competitive salary of up to $17.35/hour, plus career advancement opportunities and an excellent benefits package.

In this role, you will be responsible for providing exceptional customer service to beneficiaries, plans, pharmacies, and providers. You will communicate effectively to resolve complaints, provide information to investigative and medical staff, and compile findings to determine if they are appropriate for presentation to the triage team.

As a key member of our Investigations MEDIC team, you will work closely with colleagues to identify and address potential fraud, waste, and abuse in Medicare Part C&D programs. Your strong analytical and problem-solving skills will enable you to gather and analyze data, develop alternative solutions, and work well in group problem-solving situations.

To excel in this role, you should have a high school diploma or general education degree (GED) and at least one year of experience in a clerical/administrative, customer service, or call center-related field. Intermediate-level Microsoft Office skills, including Word, Excel, and Outlook, are also required. A working understanding of Medicare, medical terminology, and/or medical coding background is preferred.

If you are passionate about delivering outstanding customer service, resolving complex issues, and contributing to a dynamic team environment, we encourage you to apply for this exciting opportunity.

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