Concierge Customer Service Representative II

Scope:

• This is a critical senior level customer service position requiring excellent customer interaction skills along with critical thinking.


• This individual is expected to accurately service and satisfy customers by responding to customer inquiries regarding health benefits including precertification based on the employer’s / Third Party Administrator’s contract with MedWatch.
• Concierge/Customer Service Representative Floater needs to be versatile and equipped with a strong skill set to handle the complexity of the job and the ability to assist callers in both the Concierge and Intake departments.

Duties and Responsibilities:

• · Respond to telephone and email inquiries received from members and provider within defined service standards. · Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers. · Assist members with benefits a...