Job Description

Position Title: Customer Service Advocate I

Location: Remote,TX

Schedule: 8 - 6 PM CST/7 - 5 PM MST, Possible OT

Duration: 6 Months

Position Overview
The Customer Service Representative (CSR) serves as the primary point of contact for members, providers, and partners. This role is responsible for answering inquiries, resolving issues, and providing accurate information regarding health plan benefits, eligibility, claims, authorizations, and services. The CSR ensures positive customer experience by delivering professional, compassionate, and solution-oriented support.

Key Responsibilities

• • Resolve customer service inquiries or billing complaints

  • Contact customers to respond to inquiries or to notify them of claim investigation results and any planned adjustments

  • Refer unresolved customer grievances to designated departments for further investigation

  • Keep records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken

  • Call volume is typically 50 to 60 inbound calls per day

Qualifications

• 1+ year minimum. This needs to be recent within at LEAST the last 2-3 years. Job stability.
• Typing speed of 40 WPM can submit if a little less, we just need to make sure candidates are quick with their typing and multitasking

• Basic computer skills/computer savvy (Screen for prior experience working between multiple screens)

  Medical background, Bilingual in Spanish highly preferred

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