Healthcare Customer Service Representative

Job Description

Job Description

A-Line Staffing is actively recruiting a Customer Service Representative for HAP, a leading healthcare organization. This role provides meaningful work supporting members across all HAP product lines and offers opportunities for long-term growth within a national health system.

Customer Service Representative Compensation:
$20/hr

Customer Service Representative Position Highlights:

• Fully onsite role
• Full-time | 40 hours per week
• Monday–Friday, [Insert Start-End Time]
• Training conducted onsite
• Must be dependable and professional with strong customer service skills

Customer Service Representative Responsibilities:

• Respond to inquiries by telephone, mail, and in person; research and resolve complaints and appeals
• Educate existing and prospective members on policies, procedures, product offerings, benefit plans, and coverage provisions
• Document all incoming inquiries accurately to track member inquiry history and trends
• Maintain confidentiality and adhere to HIPAA regulations
• Monitor workflow and follow up on outstanding cases to ensure timely resolution
• Interact with providers and support departments to ensure member needs are met
• Recommend process improvements based on trends observed during member interactions
• Assist with departmental projects, member enrollment periods, and corporate initiatives
• Participate in training and development sessions to enhance skills and performance

Customer Service Representative Required Qualifications:

• Minimum 2 years of recent customer service or call center experience within the last 3 years
• Dependable, professional, and able to demonstrate integrity, patience, maturity, empathy, and tact
• Strong problem-solving skills, flexibility, and good judgment
• Ability to handle multiple priorities concurrently with appropriate follow-up
• Excellent interpersonal, verbal communication, and business writing skills
• Proficiency with PC and Microsoft Office programs
• Fundamental understanding of HMO/PPO/POS delivery systems and claims billing
• Ability to work flexible shifts, including evenings, weekends, and overtime as requested

Customer Service Representative Preferred Experience:

• Previous healthcare or insurance experience
• Familiarity with HAP products and services

If this opportunity aligns with your background and career goals, we encourage you to apply today!