Customer Service Representative (Hybrid)

We are seeking a customer-oriented Customer Service Representative to provide support in a hybrid or remote setting.

Key responsibilities include:

• Answering incoming call center calls promptly and professionally
• Tracking, reviewing, and processing provider requests and correspondence accurately
• Providing administrative support such as typing, file maintenance, and outgoing correspondence
• Performing data entry and managing claim documentation
• Organizing and maintaining paper and electronic files and preparing mailings
• Responding professionally to customer inquiries and guiding them to appropriate resources
• Participating in quality improvement activities and ensuring confidentiality per HIPAA and company policies
• Collaborating with team members to support project development and continuous improvement
• Upholding core values of teamwork, professionalism, and effective communication

Qualifications and skills include:

• Strong written and verbal communication, grammar, and filing skills
• Ability to prioritize tasks, manage deadlines, and work independently or within a team
• Experience handling challenging calls and providing customer care over the phone
• Knowledge of administrative procedures, medical terminology, and Medicaid
• Basic computer skills, including Word, Excel, Outlook, Teams, and Internet
• Ability to travel as needed

Requirements:

• High school diploma or equivalent
• 1-2 years of clerical or customer service experience
• Preferred: technical degree or healthcare experience