Job Description :
We are seeking a compassionate and detail-oriented Customer Service Representative (CSR) to join our Healthcare account team. As a CSR, you will serve as the first point of contact for patients, providers, and insurance companies, providing accurate information and support regarding healthcare services, billing, and medical coverage.
Key Responsibilities :
- Handle inbound and outbound calls related to patient inquiries, insurance claims, billing, and healthcare services
- Provide accurate and timely information regarding benefits, eligibility, and claims status
- Resolve customer issues efficiently while maintaining a high level of empathy and professionalism
- Document call interactions and updates in the system following data privacy guidelines
- Coordinate with healthcare providers and internal departments to resolve complex issues
- Uphold HIPAA compliance and ensure confidentiality of sensitive health information
- Meet or exceed performance metrics such as call quality, resolution time, and customer satisfaction
Qualifications :
High school diploma or equivalent; college degree is a plusAt least 1 year of experience in a customer service role, preferably in a healthcare or insurance-related environmentStrong knowledge of medical terminology, healthcare plans, and insurance processes is preferredExcellent verbal and written communication skillsEmpathetic, patient, and professional when handling sensitive health-related concernsStrong problem-solving skills and ability to multitask in a fast-paced environmentProficient in using CRM systems, call center software, and Microsoft Office applicationsFamiliarity with HIPAA guidelines and healthcare compliance standards is an advantage