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Member Services Representative I
DescriptionSummary:The Customer Service Representative answers all incoming calls from sponsors, members, and providers, researches claim status, and assists in bringing resolution to claim problems. This position is also responsible for maintaining positive relationships with physicians, providers, and practice managers within the provider network. Provides high quality service daily to all callers. Assists with special projects as assigned.Answer incoming calls from members and providers and establishing/maintaining good rapport while balancing 2-3 phone queuesProvide accurate information regarding eligibility, benefit verification, network and contract status to callersProvide information to callers conc
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