Concierge Customer Service Representative II

. Respond to telephone and email inquiries received from members and provider within defined service standards.

Posted 4/21/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $19 - $20 per hourWebsite

Key responsibilities & impact

Respond to telephone and email inquiries received from members and provider within defined service standards.
Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers.
Assist members with benefits and healthcare questions.
Document all calls received in system-based call log.
Handle all incoming MedWatch precertification calls.
Make outgoing calls for MedWatch (demos, information for case completion, re-direction for network steerage, etc.).
Complete incoming electronic Web-certs.
Verify patient and provider demos – correct and/or complete when needed.

What you’ll need

Two Years Customer Service / Call Center experience in a health care related role.
Associate degree or higher preferred but not required, Minimum High School Diploma or G.E.D.
Strong customer relations, interpersonal skills.
Knowledge of provider organizations and networks.
Knowledge and understanding of CMS Medicare reimbursement rates.
Excellent verbal and written communication skills.
Medical Terminology.
Bilingual a plus.

Comp & perks

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

customer servicecall center experiencemedical terminologyCMS Medicare reimbursement rates

Soft Skills

customer relationsinterpersonal skillsverbal communicationwritten communication

Certifications

Associate degreeHigh School DiplomaG.E.D.