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Customer Service Representative
Job description
Are you currently in the job market for a full time role? Medix is hiring Commercial Insurance Customer Service Representatives to work for a major health plan during enrollment season.
Job Overview:
- Pay: 18/hr
- The office is located in Virginia Beach, VA (Must be able to commute 5 days a week)
- Schedule: 40 hours per week, Monday - Friday, no weekends
- Shift: Any hour 8 shift between the hours of 8:00 AM - 6:00 PM
- This position will be fully in person with the opportunity to go remote after 90 days
Job Responsibilities:
- 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.
Requirements:
- Education: High school diploma or equivalent required. Associate's degree or higher in a related field is preferred.
- Experience: 2-3 years of experience in customer service, preferably in an insurance setting. Must have experience working in a call center environment, experience working with commercial health plans is preferred.