Customer Service Representative
Greater Nashville Area, Tn
Answered complex inbound calls in a call center environment in reference to Medicare part D · Guided members and providers with their healthcare needs by explaining benefits and solving claim concerns · Determined and verified eligibility for members · Provided member authorizations · Referred cases for review after collecting necessary information to proper channel for review · Data entry · Provided excellent customer service while maintaining… Show more Answered complex inbound calls in a call center environment in reference to Medicare part D · Guided members and providers with their healthcare needs by explaining benefits and solving claim concerns · Determined and verified eligibility for members · Provided member authorizations · Referred cases for review after collecting necessary information to proper channel for review · Data entry · Provided excellent customer service while maintaining metrics to insure desired results with one call resolution · Acted as a liaison between management, members, and correct departments ·Navigated through multiple systems at once · Had excellent written notation and communication with every call Show less