Customer Service Representative

Massachusetts General Hospital - - Responsibilities: Serve as primary liaison for members and providers for multiple lines of business including eligibility verifications, authorizations, referrals, and claims; Troubleshoot complex inquiries and handle and resolve complaints with first call resolution in mind; Navigate multiple systems to resolve customer issues and document interactions; Identify and escalate priority issues to create efficiencies and ensure follow-up as needed; Refer grievances and appeals to designated departments for further investigation