Healthcare Customer Service Representatives

$37,440 - $39,520/Yr

Unclassified - New York, NY

Full-time

New York, NY

About the position

The Healthcare Customer Service Representative role is essential for supporting the efficient operation of a medical management system. This position involves maintaining accurate records, assisting healthcare providers, and delivering exceptional service to both providers and patients.

Responsibilities

• Collect and enter information from healthcare providers into the medical management system for assessment tools.
• Create and maintain case files for services requiring authorization to ensure prompt decision-making.
• Track and update data to guarantee accurate claims processing and adjudication.
• Provide high-quality customer service by effectively managing and triaging calls.
• Ensure accurate data collection during calls while meeting established performance targets.
• Track and report customer complaints regarding service requests, offering suggestions for corrective actions when necessary.

Requirements

• Minimum of two years of experience in a customer service role.
• Strong oral and written communication skills.
• Advanced proficiency with personal computers, including Microsoft Word, Excel, and Access.
• Healthcare background or experience in medical management settings is required.