Customer Service Rep CAC Blue Ridge-Remote

Customer Service Rep CAC Blue Ridge -Remote Customer Service Representative - (CAC) This is full time remote position- Candidates must be within commuting distance of Sentara RMH or Sentara MJH to report on site as needed for connectivity/equipment support The Customer Service Representative (CAC) handles all aspects of member/patient support, focusing on timely research and resolution of telephone inquiries. This role manages incoming calls to address questions about member eligibility, plan prescription benefits, and claim payment issues, as well as patient service needs such as updating billing information, establishing payment plans, resolving payment inquiries, and scheduling. Success in this role requires clear communication, accurate documentation, strong problem-solving, and a service-oriented mindset to ensure an excellent experience on every call. You MUST be within one hour of either Sentara Martha Jefferson or Sentara Rockingham hospitals Education • High School Diploma or equivalent Certification/Licensure • No specific certification or licensure requirements Experience • 1+ year of customer service experience (healthcare or contact center environment preferred) • Experience assisting callers with eligibility/benefits, claims/payment resolution, billing updates, payment plans, and appointment scheduling • Proficiency with CRM/EMR or call-tracking systems; accurate call documentation and follow-through • Strong communication, de-escalation, and problem-solving skills; ability to manage a high call volume and meet performance KPIs • Commitment to accuracy, confidentiality, and HIPAA/privacy compliance Apply tot his job