We are looking forCustomer Service Representatives(CSR) to support our operations.
This role focuses on delivering high-quality customer support through a call center environment, handling customer inquiries, and ensuring excellent customer experience.
Job description:
Job Description
We are looking forCustomer Service Representatives(CSR) to support our operations.
This role focuses on delivering high-quality customer support through a call center environment, handling customer inquiries, and ensuring excellent customer experience.
Key Responsibilities
- Process new enrollments, terminations, reinstatements, and eligibility updates.
- Validate member information and ensure accurate maintenance of records within enrollment systems.
- Support premium billing activities, payment reconciliation, and billing adjustments.Investigate and resolve enrollment and billing discrepancies.
- Review enrollment transactions for accuracy and compliance.
- Coordinate with Member Services, Providers, Employer Groups, and other internal departments regarding enrollment and billing issues.
- Generate reports and maintain documentation related to enrollment and billing activities.
- Support audits, compliance reviews, and quality assurance initiatives.Meet productivity, quality, and turnaround time metrics.
- Ensure compliance with HIPAA and healthcare regulatory requirements.
Requirements
- 6 months to 3 years of experience in Customer Service.
- English Advanced level.
- High School graduated.
- Professional customer service skills: solution mindset, helping nature, passion for the customer and customer experience.
- Fair written and verbal communication skills.
- Critical thinking and logical thinking.
- Ability to multitask and work under pressure.
- Thinks outside of the box.
- Demonstrated ability to be a fast learner and diligent worker.
- Problem solving abilities.
Type of work, schedule and our offer
This is an On-site position.
Schedule
- Monday to Friday from 6 AM t
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