Call Center Representative (Medical/ Insurance Experience Preferred)

Responsibilities:

• Answer high-volume inbound calls and make outbound calls as needed.
• Assist patients/members with inquiries related to:
• Benefits, eligibility, and coverage
• Claims status and billing questions
• Provider information and referrals
• Appointment scheduling and general support
• Accurately document all interactions in CRM or healthcare systems.
• Verify insurance and demographic information.
• Provide clear explanations of policies, procedures, and next steps.
• Escalate complex or sensitive issues to appropriate teams.
• Maintain confidentiality and comply with HIPAA and company policies.
• Meet or exceed call center performance metrics (quality, productivity, attendance).
• Collaborate with internal teams to resolve customer concerns quickly and efficiently.