Medical Customer Service Representative

Providing phone customer service to members of multiple benefit plans, the full-time Medical Customer Service Representative will analyze caller needs and deliver timely responses regarding benefits, claims processing, and health plan details while working from home. Key responsibilities Answer over 50 calls daily related to claims and benefit inquiries, providing accurate solutions and confirming eligibility Document all call interactions clearly and concisely while maintaining confidentiality and professionalism Review and explain authorization requirements and assist members in finding suitable healthcare providers Required qualifications High school diploma or equivalent Practical knowledge of medical terminology and diagnosis/procedure coding is desired Experience in claim processing or customer service, preferably in a medical/dental office setting Proficiency in Microsoft Office applications and ability to navigate multiple computer screens Ability to type a minimum of 25 wpm and achieve 105 spm net on a computer numeric keypad