Customer Service Representative (HealthCare Account )

Health Care Customer Service Representative Responsibilities:

Familiarizing yourself with and remaining up-to-date with changes in our plans and tariffs.
Greeting customers in a friendly, professional manner using the suggested script.
Answering telephonic and e-mail inquiries in a timely manner.
Deferring queries to your line manager if you are unable to answer them.
Furnishing members and health care practitioners with details regarding members' benefits.
Granting pre-authorizations for medical treatment, if covered.
Advising members of outstanding co-payments.
Providing extant and prospective members with the details of network providers.
Canceling members' plans upon their request, or due to recurrent nonpayment, if directed by your line manager.
Ensuring that your workspace remains tidy and that you are equipped with all relevant tools and resources.

Health Care Customer Service Representative Skills:

High school diploma or equivalent.
Prior experience as a customer service specialist or equivalent, ideally within a similar setting.
Sales experience is highly advantageous.
Computer literate with an above-average typing speed.
Superb verbal and written communication skills.
Thorough, with excellent listening skills.
Ability to calm irate, anxious, or grieving customers.
Capacity to navigate stressful situations with ease.
Available to work shifts, which may include work during evenings, weekends, and public holidays.