Healthcare

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 non-payment, if directed by your line manager.
• Ensuring that your workspace remains tidy and that you are equipped with all relevant tools and resources.