Customer Service Representative I

Western Growers Health is hiring a Customer Service Representative I to respond to member, provider, and employer inquiries about insurance benefits, provider contracts, reimbursement programs, eligibility, and claims. The role also researches and resolves customer service issues, analyzes operational data, and helps meet service and quality metrics. ResponsibilitiesRespond to general customer questions via telephone, e-mail, and written correspondence regarding insurance benefits, provider contracts, reimbursement programs, eligibility, and claims in a confidential, professional, and ethical mannerAnalyze problems and provide information/solutionsResearch and resolve aged Customer Service open calls within company standardsOperate in the Health Care Processing System (HCPS), Imaging systems, and all systems necessary to obtain and extract information with proficiency and skillsDevelop and maintain positive customer relations and coordinate with various functions within the company to