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

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