Medix Healthcare is hiring Customer Service Representatives for a Health Plan in Virginia Beach!

Hours: Monday-Friday, will be scheduled to work between 8am-6pm

Pay: $18/hr

Ideal experience: Candidates with call center and insurance experience!

***This is a fully onsite role with the potential to turn fully remote if performance is satisfactory during first 90 days***

Duties:

• Customer Support: Respond to member inquiries via phone, email, or chat, providing accurate and timely information about their insurance coverage, benefits, and services.
• Issue Resolution: Investigate and resolve issues related to billing, coverage, claims, and other member concerns. Ensure issues are handled efficiently and effectively to maintain high member satisfaction.
• Benefit Explanation: Clearly explain the details of insurance benefits, policy coverage, and procedures to members. Assist members in understanding their plans and how to access services.
• Claims Assistance: Provide support with the claims process, including tracking claim status, explaining claim decisions, and assisting with any necessary follow-ups or appeals.
• Documentation: Maintain accurate records of member interactions, including detailed notes on inquiries, issues, and resolutions. Ensure all information is documented in compliance with company policies and procedures.
• Compliance: Adhere to regulatory requirements and company policies. Stay informed about changes in commercial insurance regulations and procedures.
• Collaboration: Work closely with other departments, such as Claims and Enrollment, to address complex issues and provide comprehensive support to members.
• Continuous Improvement: Identify opportunities for process improvements and provide feedback to enhance the customer service experience.