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Customer Service Representative

2 months ago

Virginia Beach, Virginia, United States Medix Full time

**Job Summary**

Medix is seeking a highly skilled and customer-focused Customer Service Representative to join our team. As a key member of our organization, you will be responsible for providing exceptional service to our members, ensuring their needs are met and exceeded.

**Key Responsibilities**

  • Respond to member inquiries in a timely and accurate manner, providing detailed information about their insurance coverage, benefits, and services.
  • Investigate and resolve issues related to billing, coverage, claims, and other member concerns, ensuring issues are handled efficiently and effectively to maintain high member satisfaction.
  • Clearly explain the details of insurance benefits, policy coverage, and procedures to members, assisting them in understanding their plans and how to access services.
  • Provide support with the claims process, including tracking claim status, explaining claim decisions, and assisting with any necessary follow-ups or appeals.
  • Maintain accurate records of member interactions, including detailed notes on inquiries, issues, and resolutions, ensuring all information is documented in compliance with company policies and procedures.
  • Adhere to regulatory requirements and company policies, staying informed about changes in commercial insurance regulations and procedures.
  • Work closely with other departments, such as claims and enrollment, to address complex issues and provide comprehensive support to members.
  • Identify opportunities for process improvements and provide feedback to enhance the customer service experience.

**Requirements**

  • High School Diploma or equivalent.
  • 1-3 years of customer service experience.
  • Excellent communication and problem-solving skills.
  • Computer proficiency.
  • Previous experience in customer service, particularly in a healthcare or insurance setting.