Concierge Customer Service Representative

To support a critical senior-level customer service function, the full-time Concierge Customer Service Representative will manage customer inquiries regarding health benefits, negotiate with providers, and document interactions while working remotely.<br />Key responsibilities<br /><br />Respond to telephone and email inquiries from members and providers within defined service standards<br />Negotiate with providers to gain acceptance for plans without network agreements and assist members with benefits questions<br />Document all calls in the system-based call log and handle incoming precertification calls<br /><br />Required qualifications<br /><br />Minimum of two years of customer service or call center experience in a healthcare-related role<br />Strong proficiency with Microsoft applications and excellent data entry skills<br />Knowledge of provider organizations, networks, and CMS Medicare reimbursement rates<br />Associate degree or higher preferred; minimum high school diploma or G.E.D. required<br />Experience with medical intake, insurance verification, or precertification is a plus