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Regional West Health Services Customer Service Representative (CSR) in Scottsbluff, Nebraska

Customer Service Representative [CSR]

Full Time Clerical/Admin Regional Care, Inc., SCOTTSBLUFF, NE, US

Regional Care, Inc. (RCI) is one of the nations premier independent third-party administrators based in Scottsbluff, Nebraska. We achieve this through use of leading-edge technology, partnerships with leading-edge business partners and staff dedicated to identifying the best available PPO networks in each geographical area. We are actively looking for individuals with strong customer service to join the team as a Customer Service Representative.

Our mission is to maximize savings and providing quality solutions while effectively managing your health care cost.

To serve this mission, the Customer Service Representative will interact with customers in persona, phone calls and web/email to provide and process information in response to inquiries, concerns and request regarding health, dental, and vision plans.

As a Customer Service Representative, you will:

  • Interpret all plan documents to answer client questions regarding membership eligibility; benefits, provider network, deductibles, out of network and exclusions.
  • Route/document all calls requiring follow-up to appropriate claims/administrative staff and help assure timely follow-up.
  • Work closely with claims and administrative staff to assure positive and appropriate service.

You may be a good fit if you have:

  • A high school diploma
  • One to Two general office experience preferred
  • Knowledge of Third Party Administrator services, Call Center experience, and Medical Coding preferred

If this sounds like you, wed love to connect!

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