Job Description

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a dedicated Team Representative to join the Member Experience team. The primary focus is to alleviate administrative burdens from members by handling customer service inquiries and answering questions regarding benefits, eligibility, and more. Key Responsibilities Assist members by answering customer service inquiries related to insurance benefits, eligibility, and claims. Provide detailed explanations on deductibles, coinsurance, and out-of-pocket amounts. Effectively address provider calls, focusing on claims and benefit discussions, including cost-share estimations. Qualifications Approximately 3 years of insurance customer service experience. High-level understanding of claims and claims follow-up. Experience with Explanation of Benefits (EOB) and eligibility. Strong phone and written communication skills. Preference for...

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