Customer Service Representative
Customer Service Advocate responds to customer, health care professional and client inquiries primarily regarding:•Eligibility to receive benefits associated with their individual or company sponsored health insurance plan.•Determination of out of pocket costs related to medical or dental office visits, prescription medications, inpatient and outpatient procedures, diagnostic imaging for treatment of injuries, medical equipment and preventive care.•Understanding of payments and claims related to office and hospital visits and medical and dental procedures, and thoroughly explaining how customer benefits are applied to costs associated with these visits and procedures.•Finding an in-network primary care or specialist doctor in a geographical area or specialty.•Education on disease management programs and healthy living programs personalized to the customer’s medical condition or health improvement goals.