Behavioral Health Customer Service Representative

HireTalent is a staffing and recruiting firm seeking a Behavioral Health Customer Service Representative. This role supports Provider Relations and Claims operations by handling inbound calls from providers and members, assisting with claim inquiries, billing issues, and provider-related requests while ensuring excellent customer service.

Responsibilities:

• Handle inbound calls related to claims, billing, and provider relations
• Verify claim status and explain claim processing details
• Assist with claim reprocessing, adjustments, and EOB requests
• Support providers with contract inquiries and demographic updates
• Educate providers/members on billing and coverage protocols
• Perform follow-ups via outbound calls when needed
• Document interactions and coordinate with internal teams for issue resolution

Requirements:

• Strong customer service and communication skills
• Experience working in claims, healthcare, or insurance environments
• Ability to multitask across multiple systems
• Strong problem-solving and organizational skills
• Comfortable working in a virtual/remote environment
• Good typing and PC skills
• Bachelor's Degree required
• Must have reliable high-speed internet (not provided)
• The role involves a high-call-volume environment
• Strict attendance policy applies