🔥 9 minutes ago
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• Provide guidance on provider networks, referrals and pre-authorizations. • Troubleshoot and resolve issues related to billing, payments and coverage. • Ensure compliance with HIPAA regulations when handling sensitive member information. • Collaborate with internal departments to resolve complex member concerns. • Maintain accurate records of customer interactions and resolutions in CRM systems. • Meet performance metrics such as response time, resolution rate and customer satisfaction scores. • Stay updated on policies, state regulations and healthcare industry changes.
• Previous customer service experience, preferably in healthcare or insurance. • Strong verbal and written communication skills. • Independent decision-making and problem-solving skills with the ability to remain calm under pressure. • Ability to handle high call/chat/email volumes effectively. • Proficiency in computer applications, including CRM and customer support platforms. • Ability to work flexible shifts, including weekends and holidays. • Must be 18 years or older • High school diploma or equivalent • Must reside in the state of New Mexico
• Paid training • A culture that celebrates YOU • Opportunities for growth and advancement • A team that’s got your back
Apply Now🔥 11 minutes ago
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