Customer Service Representative

Job description

Medix is hiring a Customer Service Representative for an a major health system in VA Beach.

Job Information:

• Schedule: Monday - Friday - Full time (8am-6pm) - Must be able to commit to these hours
• Customer Service Representative for Commerical Insurance
• This role is In person with an oppurtunity to go remote based on performance.

Requirements

• Computer Proficiency
• Excellent Communication
• Problem-Solving, Conflict Resolution
• 1-3 Years of Customer Service Experience
• Previous experience in customer service, particularly in a healthcare or insurance setting, is preferred. Familiarity with commercial insurance policies and procedures is a plus.

Job Description:

• • 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.

Medix is a healthcare specific staffing agency, partnering with major health systems. We offer health, vision, and dental insurance, sick leave policy and a weekly pay schedule!

We are holding interviews ASAP, so apply now!