Healthcare Customer Service Representative

Entered 500 new customer records into the database in one month;” Include keywords from the job description, such as “accuracy,” “speed,” “data analysis,” and “data cleansing.

Handling telephone inquiries, resolving complaints, and assisting in collecting supporting data and documentation about member care. • Checked and verified medical insurance claims accurately. • Review and evaluate medical service requests, including procedures, tests, surgeries, and medications, to determine if prior authorization is required. • Addressing inquiries about benefits, rates, policies, referrals and eligibility. • Maintaining service relationships with patient, providers, physicians, and administrators.