Chisquares

Customer Support

• Create a great member story by helping members feel confident with their care navigation.
• Manage appointments, maintain accurate records, and conduct follow-up communications.
• Promptly answers incoming calls/texts from RDH Members and assists with their needs.
• Answer 90% of incoming calls/texts; Return any texts and VM's in 15 minutes or less; raise hand when time limits go over.
• Documentation of all member interactions in EMR and handoff any additional care plans to appropriate team members.
• Availability on holidays to cover on-call shifts throughout the year.

Customer Service Representative

Insurance

• Reviewing and validating claims to ensure all information is accurate and complete.
• Analyzing claims and product materials to process claims properly.
• Maintaining accurate and confidential claims records.
• Responding to provider inquiries and resolving claim-related issues.
• Identifying and correcting errors or missing information in claims.
• Building and maintaining professional relationships with members, clients, and providers.

Customer Service Representative

Medical Claims Specialist