Customer Service Representative - Work from Home in New Mexico

Ibex is where your career journey starts with energy, teamwork, and endless opportunities. As a Customer Service Agent, you will assist members with inquiries related to health insurance coverage, claims, benefits, and provider networks while ensuring compliance with HIPAA regulations.

Responsibilities:

• 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

Requirements:

• Must be 18 years or older
• High school diploma or equivalent
• Must reside in the state of New Mexico
• 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
• Previous customer service experience, preferably in healthcare or insurance