Medical Customer Service Representative

Job Overview

We are seeking a dedicated Customer Service Medical Representative to join our team. This role is crucial in supporting our clinical team and acting as a proactive resource for our members in the areas of disease prevention and benefit education.

Key Responsibilities

• Provide support to the clinical team by facilitating education on disease prevention and available benefits.
• Conduct informative telephone calls to members, outlining available services and programs.
• Complete comprehensive health needs assessments and refer members to appropriate management programs.
• Engage with members identified with care gaps, motivating them to adhere to health recommendations and assisting with provider and appointment scheduling.
• Manage system work queues by screening members for eligibility and addressing customer service inquiries.
• Conduct research and analysis on inquiries or complaints relating to processes and member incentives.
• Flexibility to work overtime as required.
  
  

Required Skills

• Proficient understanding of medical terminology.
• Strong interpersonal and organizational skills.
• Excellent verbal and written communication capabilities.
• Decision-making and problem-solving skills conducive to independent work and teamwork.
• Ability to prioritize and manage multiple responsibilities effectively.
• Self-driven with effective time management skills.
  
  

Qualifications

• A minimum of 2 years of experience in a customer service support role is essential.
• Proven capacity to operate autonomously and collaboratively within a team environment.
• Strong aptitude for decision-making and problem-solving in a dynamic setting.
  
  

Career Growth Opportunities

Joining our organization offers potential pathways for professional development and career advancement within the healthcare sector. We prioritize the growth of our employees and encourage continuous learning and skill enhancement.

Company Culture And Values

Our company is committed to fostering a supportive and inclusive work environment. We value integrity, teamwork, and innovation, and we take pride in our mission to improve healthcare accessibility for our community.

Networking And Professional Opportunities

As a part of our team, you will have ample opportunities for networking and collaboration with professionals in the healthcare domain, enhancing your skills and expanding your professional connections.

Employment Type: Full-Time