HDSI: Customer Service Representative (Healthcare Account)

Job Objective/Job Purpose:
The Customer Service Representative will act as a liaison, provide product/services information, coordinate with providers and facilities for members request, answer questions, and resolve any emerging problems that our customer accounts might face with accuracy and efficiency. S/he is set to be an additional headcount to cover the additional shift (11PM to 7AM) for the Flexicare Customer Service Team.

This role will be hired under Health Delivery System, Inc. - a RelianceUnited company.

Duties and Responsibilities:

• Accept inbound calls from Flexicare members and accredited providers requesting for Letter of Authorizations. Address member concerns related to their health benefit program.
• Ensure that LOA request is issued within the members’ benefits based on their respective benefit matrixes, remaining limit and eligibility.
• Conduct outbound calls as needed to assist with claim informatio...