Customer Service Representative - Aspire Health

Job description

Welcome to Montage Health’s application process! Job Description: P urpose of Position The Customer Service Representative I will handle incoming calls from health plan members and healthcare providers, assisting with inquiries related to eligibility, claims status, and benefits. This role is crucial in supporting our members, so the ideal candidate should have a genuine desire to help others and demonstrate empathy in every interaction. We’re looking for a curious, solution-oriented problem solver who can balance compassion with professionalism in a fast-paced environment. Responsibilities: - Interacts with customers (client, member and provide) via telephone, email, or in person to provide support and information specific to eligibility, benefits, claims, prior authorization requirements and appeals. - Document all communication in the applicable system of record. - Provide proactive education to customers, as it relates to their specific inquiry. - Provide accurate and timely responses to all customer inquiries. - Successfully bring all issues to closure within appropriate timeframe. - Provide support and coverage to inter-departmental staff as needed. - Coordinate customer appe...