Customer Service Representative

Massachusetts General Hospital - 399 Revolution Drive - Responsibilities: Serve as the primary liaison for members and providers for all lines of business including MassHealth, and Commercial members regarding general program inquires such as eligibility verifications, authorizations, referrals, claims, material fulfillment, address changes and Primary Care Physician assignments as well as member related policy and procedures.; Identify customer issues/concerns rapidly and precisely.; Research required information using available resources and triage when necessary.; Handles and resolve customer inquiries and complaints, exhausting all efforts within the CSP's scope before requesting assistance.; Refer customer grievances and appeals to designated departments for further investigation.