The Customer Service Representative is responsible for answering phone calls in a prompt and courteous manner to achieve contractual obligations. Responsible for answering members and providers questions with a quick and accurate response. They are also responsible for timely completion of all correspondence and reporting functions associated with the Customer Service Unit. Job Requirements: 1.High School graduate or equivalent. 2.Strong ability to relate with a variety of people in a non-judgmental manner. 3.Strong organizational, verbal and written communication skills. 4.Possess some knowledge of the health care system. 5.Microsoft Office programs (Excel, Word, Outlook) and keyboard skills. 6.Proper usage of the English Language. 7.Courteous manner/even temperament. 8.Excellent communication skills. Preferred Qualifications: 1.College degree. 2.Previous call center experience. 3.Knowledge of medical terminology. 4.Knowledge of CPT and ICD-10 coding. 5.Familiar with medical and hospital claims. 6.Familiar with Prescription Coding (NDC). 7. Familiar with Coordination of Benefits ruling. 7. Previous government program experience. Responsibilities: Takes an average of 40-60 calls daily. Has established adequate proficiency in using the application necessary to perform the functions of a CSR.