California Licensed Senior Customer Service Representative

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

Jun 21, 2025 - 03:10

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