[Remote] Healthcare Customer Service Representative (Work from Home)

Remote, USA Full-time
Note: The job is a remote job and is open to candidates in USA. NeueHealth is a value-driven healthcare company committed to making healthcare accessible and affordable. The Membership Enrollment - Customer Service Representative will support providers and members by answering calls regarding eligibility, benefits, claims, and service authorizations, ensuring a positive customer experience. Responsibilities Answers incoming calls from providers and members Provides eligibility, claims and authorization status Retrieves voice mails and responds Collaborates with internal and external partners to resolve issues from providers or members as they relate to claims payment, authorization and eligibility inquiries Creates, tracks and completes Customer Service Incidents to internal departments to resolve caller issues Participates in the discovery and resolution of root cause for recurring issues Ensures that all customer needs and problems are properly communicated and managed in a way that maintains great customer relationships Uses customer service best practices to ensure a positive customer experience Meets daily, weekly, monthly metrics as written Other duties and responsibilities as assigned Skills High School diploma or GED One (1) to three (3) years of customer service experience Strong communication skills, both verbal and written Organized and able to prioritize work to meet deadlines Able to work independently with little supervision Able to understand regulatory and compliance rules Results and detail oriented To be positive and accountable Team unity mindset One (1) to three (3) years in the Health Insurance Industry Claims payor experience Benefits Health benefits Life and disability benefits A 401(k) savings plan with match Paid Time Off Paid holidays Company Overview Centrum Health provides medical, primary care, dental care, diagnostic, and laboratory services. It was founded in undefined, and is headquartered in Doral, Florida, USA, with a workforce of 201-500 employees. Its website is
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