California Licensed Senior Customer Service Representative

Job Summary

A company is looking for a Customer Service Representative Senior - Remote in CA.

Key Responsibilities

• Receive and resolve customer concerns regarding claims, authorizations, and IPA functionality
• Act as a liaison between physicians, health plans, and IPA staff while logging issues for follow-up
• Participate in training new staff and maintain departmental quality standards

Required Qualifications

• Must be 18 years of age or older
• 1+ years of experience in a Medicare and HMO environment
• 1+ years of claims processing or customer service experience
• Experience interpreting provider and health plan contracts
• Ability to work full time with flexibility for shift schedules