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Remedy Intelligent Staffing · 1 day ago

Customer Service Representative (Hybrid, O’ahu-based)

Honolulu, HI

Full-time

Hybrid

New Grad, Entry Level

$19/hr - $24/hr

0+ years exp

Remedy Intelligent Staffing is seeking a Customer Service Representative to serve as a primary contact for members and healthcare providers. This role involves delivering support related to health plan benefits, eligibility, and prescription coverage while ensuring a positive customer experience in a high-volume call center setting.

EmploymentRecruitingStaffing Agency

Responsibilities

Serve as the primary point of contact for members, providers, employers, and prospective customers via phone and email

Respond to inquiries related to eligibility, enrollment, benefits, provider services, authorizations, and prescription coverage

Verify coverage details, explain benefits and limitations, and calculate member cost-sharing responsibilities

Review service codes and authorization requirements using internal systems and reference tools

Assist healthcare providers with network participation, contracts, and claim-related questions

Route and document sales-related inquiries and support coordination with the sales team

Review authorization and pharmacy systems to provide status updates and escalate issues when appropriate

Process member requests for ID cards, letters, and benefit documentation

Maintain accurate and timely documentation of all customer interactions

Follow assigned schedules, policies, and procedures in a high-volume call center environment

Participate in ongoing training and perform additional duties as assigned

Qualification

Customer service experienceHealthcare experienceMicrosoft ExcelData entry skillsCommunication skillsOrganization skillsTime managementAttention to detail