The Customer Service Representative answers all incoming calls from sponsors, members, and providers, researches claim status, and assists in bringing resolution to claim problems.
This position is also responsible for maintaining positive relationships with physicians, providers, and practice managers within the provider network.
Provides high quality service daily to all callers.
Assists with special projects as assigned.
Answer incoming calls from members and providers and establishing/maintaining good rapport while balancing 2-3 phone queues
Provide accurate information regarding eligibility, benefit verification, network and contract status to callers Provide information to callers concerning claims questions, research as necessary to assist in resolving issues related to claims reimbursement Document accurate information