Customer Service Representitive

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We are transforming healthcare to be value-driven, creating a seamless, consumer-centric care experience that maximizes value for all.

We believe that all health consumers are entitled to high quality, coordinated healthcare. We uniquely align the interests of health consumers, providers, and payors to make high-quality healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.

JOB SUMMARY

The Membership Enrollment - Customer Service Representative I provides support to providers and members by answering calls regarding eligibility, benefits, claims, and service authorizations.

DUTIES & RESPONSIBILITIES

The Membership Enrollment - Customer Service Representative job description is intended to point out major responsibilities within the role, but it is not limited to these items.

• Answering incoming calls from providers and members
• Provides eligibility, claims and authorization status.
• Retrieves voice mails and responds.
• Collaborates with internal and external partners to resolve issues from providers or members as they relate to claims payment, authorization and eligibility inquiries.
• Creates, tracks and completes Customer Service Incidents to internal departments to resolve caller issues.
• Participate in the discovery and resolution of root cause for recurring issues.
• Ensure that all customer needs and problems are properly communicated and managed in a way that maintains great customer relationships.
• Use customer service best practices to ensure a positive customer experience.
• Meets daily, weekly, monthly metrics as written.
• Other duties and responsibilities as assigned.

EDUCATION AND PROFESSIONAL EXPERIENCE

LICENSURES AND CERTIFICATIONS)

PROFESSIONAL COMPETENCIES

WORK ENVIRONMENT

The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk / table and working on the computer.

For individuals assigned to a location(s) in California, NeueHealth is required by law to include a reasonable estimate of the compensation range for this position. Actual compensation will vary based on the applicant's education, experience, skills, and abilities, as well as internal equity. A reasonable estimate of the range is $17.63-$26.44 Hourly.

Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings plan with match; Paid Time Off, and paid holidays.

As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Salary : $18 - $26