We are seeking an experienced Health Plan Customer Support Agent with a background in handling medical insurance. The ideal candidate will have excellent communication skills, a strong understanding of medical insurance processes, and the ability to provide exceptional customer service in a fast-paced environment.
Key Responsibilities:
Handle inbound and outbound calls related to medical insurance inquiries, claims, and billing.
Assist patients, providers, and insurance companies with questions regarding insurance coverage, benefits, and eligibility.
Process insurance claims, authorizations, and referrals accurately and efficiently.
Resolve customer complaints and issues with professionalism and empathy.
Maintain detailed and accurate records of customer interactions and transactions in the database.
Provide information and guidance on insurance policies, procedures, and regulations.
Collaborate with other departments to ensure seamless customer service and issue resolution.
Stay up-to-date with changes in insurance policies and procedures to provide accurate information to customers.
Qualifications:
Must have 1 year or more of experience in a medical insurance call center environment. Specifically, a candidate who has worked for Aetna, Blue Cross Blue Shield, UHC, Kaiser, or any other medical insurance plan.
High school diploma or equivalent; Associate's or Bachelor's degree preferred.
Minimum of 2 years of experience in a call center or customer service role, with a focus on medical insurance.
Strong knowledge of medical insurance terminology, processes, and regulations.
Excellent verbal and written communication skills.
Proficiency in using customer service software and databases.
Ability to multitask and manage time effectively in a fast-paced environment.
Strong problem-solving skills and attention to detail.
Ability to work independently and as part of a team.