Responsibilities
- Advise members on provider networks, referrals, and pre-authorizations.
- Address and resolve issues with billing, payments, and coverage.
- Adhere to HIPAA regulations when managing sensitive member data.
- Work with internal teams to solve complex member concerns.
- Keep detailed records of customer interactions and resolutions in CRM systems.
- Achieve performance targets for response time, resolution rate, and customer satisfaction.
- Keep current with policies, state regulations, and healthcare industry changes.
Benefits
- Paid training
- A culture that celebrates you
- Opportunities for growth and advancement
- A team that supports you
Work Arrangement
Remote (Country) — New Mexico
Other
- Work from home in New Mexico
- Paid training
- Flexible shifts including weekends and holidays
