Customer service representative

Roles & Responsibilities

Handle inbound calls from US-based members regarding healthcare insurance, claims, policy details, and coverage . Provide accurate information regarding eligibility, deductibles, payments, and prior authorizations . Document interactions appropriately and maintain patient confidentiality in compliance with HIPAA guidelines . Resolve customer queries promptly with a customer-first approach . Escalate complex issues to appropriate departments when needed . Stay updated with system changes, policy updates, and meet quality and productivity targets

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