Healthcare Customer Service Representative

Key Responsibilities: - Respond to inbound and outbound calls, emails, or chat inquiries from patients, providers, and members. - Explain healthcare benefits, eligibility, coverage, and policy information. - Assist with claims status, billing concerns, prior authorizations, and referrals. - Accurately document customer interactions in the company's system. - Resolve customer concerns promptly or escalate complex issues to the appropriate department. - Verify patient or member information while maintaining confidentiality and compliance with privacy regulations. - Meet quality assurance, productivity, and customer satisfaction goals. - Stay updated on healthcare policies, procedures, and regulatory requirements. - Collaborate with internal teams to ensure timely resolution of customer concerns. Qualifications: - College Graduate - NO EXPERIENCE NEEDED (Perfect for Fresh Grads) - Excellent verbal and written communication skills. - Strong problem-solving and active listening abilities. - Proficiency in Microsoft Office and customer relationship management (CRM) or healthcare systems. - Ability to multitask and work in a fast-paced environment. - Knowledge of medical terminology, health insurance, or claims processing is an advantage. Preferred Skills: - Strong interpersonal and customer service skills. - Attention to detail and accuracy. - Ability to handle sensitive information with professionalism. - Time management and organizational skills. - Adaptability and willingness to learn new healthcare processes.