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
Basic computer skills/computer savvy (Screen for prior experience working between multiple screens)
Medical background, Bilingual in Spanish highly preferred
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