A Local Healthcare CSR (Customer Service Representative) job description typically involves assisting patients, providers, and other stakeholders with healthcare-related inquiries and issues. Responsibilities include providing accurate information, resolving concerns, processing claims, and ensuring compliance with regulations

Here's a more detailed breakdown of a local healthcare CSR's duties:

Core Responsibilities:

• Handling Inquiries:
• Answering questions from patients, providers, and other stakeholders regarding healthcare services, benefits, eligibility, claims, and policies. 

Providing Information:

Offering accurate and up-to-date information about healthcare services, procedures, and programs. 

Claim Processing:

Managing and processing healthcare claims, including verifying eligibility and processing payments. 

Customer Support:

Providing excellent customer service by resolving concerns and ensuring customer satisfaction. 

Documentation:

Maintaining detailed records of interactions, claims, and service requests. 

Confidentiality:

Ensuring compliance with healthcare regulations and maintaining patient confidentiality. 

Escalation:

Identifying and escalating complex issues to appropriate personnel. 

Patient Advocacy:

Serving as a frontline advocate for members, ensuring they receive accurate information and support regarding their benefits and plan options. 

Utilizing Systems:

Using healthcare systems, such as EMRs, to access patient information, eligibility, and other relevant data. 

HIGH SCHOOL GRADUATE

SENIOR HIGH SCHOOL GRADUATE

COLLEGE GRADUATE / UNDERGRADUATE

0-6 Months Call Center Experience