Customer Service Representative - (West Des Moines, IA)

Job overview Customer Service Representative This position is responsible for inbound and outbound communication in support of case review activities including collection and confirmation of data integrity. About the role : You will ensure quality customer service by responding to phone inquiries from members and providers. Prioritize workload to meet program or regulatory time frames. You will provide verbal and written communications of review decisions to include administrative denials. Complete service/treatment screens for accurate transmission of outcome decision. You will provide general office support and perform other duties as assigned. Our Perfect candidate: 2 yrs background working in a customer service or healthcare environment. Demonstrated expertise working with confidential details and in a deadline driven environment. Good verbal and writing expertise and intermediate PC skills. Satisfactory completion of medical terminology course preferred.