Billing, Communication Skills, Computer Skills, Corporate Policies, Customer Relations, Customer Relationship Management (CRM), Customer Relationship Management (CRM) Systems, Customer Satisfaction, Customer Support/Service, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Healthcare, High School Diploma, Identify Issues, Insurance Claims, Maintain Compliance, People Management, Performance Metrics, Presentation/Verbal Skills, Problem Solving Skills, Regulatory Compliance, State Laws and Regulations, Track Customer Issues, Writing Skills
Washington, Washington, DC
Jumpstart Your Career with Ibex!
Ibex is where your career journey starts with energy, teamwork, and endless opportunities! Whether you're just starting out or ready for something new, we’ve got your back with paid training that sets you up for success. Our vibrant team thrives on support, good vibes, and leaders who truly listen. You’ll make real connections, build new skills, and grow your career in a place that celebrates you.
About the Role:
As a Customer Service Agent, you will be responsible for assisting members with inquiries related to health insurance coverage, claims, benefits, and provider networks. You will provide support via phone, email, and chat while ensuring compliance with HIPAA regulations and company policies.
We’re looking for enthusiastic individuals with a can-do attitude. Even if you don’t meet every qualification, we encourage you to apply. We value potential as much as experience.
Responsibilities:
What You’ll Do:
- Provide guidance on provider networks, referrals and pre-authorizations.
- Troubleshoot and resolve issues related to billing, payments and coverage.
- Ensure compliance with HIPAA regulations when handling sensitive member information.
- Collaborate with internal departments to resolve complex member concerns.
- Maintain accurate records of customer interactions and resolutions in CRM systems.
- Meet performance metrics such as response time, resolution rate and customer satisfaction scores.
- Stay updated on policies, state regulations and healthcare industry changes.
Qualifications:
What We’re Looking For:
- Previous customer service experience, preferably in healthcare or insurance.
- Strong verbal and written communication skills.
- Independent decision-making and problem-solving skills with the ability to remain calm under pressure.
- Ability to handle high call/chat/email volumes effectively.
- Proficiency in computer applications, including CRM and customer support platforms.
- Ability to work flexible shifts, including weekends and holidays.
Requirements:
- Must be 18 years or older
- High school diploma or equivalent
Why Ibex?
- Paid training
- A culture that celebrates YOU
- Opportunities for growth and advancement
- A team that’s got your back