We are looking for a Customer Service Representative to support customers with account inquiries, service requests, and billing-related questions in Houston, Texas. This contract opportunity has the potential to become permanent and is ideal for someone who enjoys helping people, communicating clearly, and managing detailed customer information in a fast-paced setting. The person in this role will serve as a key point of contact, ensuring customers receive accurate guidance while service issues are addressed promptly and professionally.<br><br>Responsibilities:<br>• Assist customers with setting up new accounts, transferring service, and arranging service suspension or restoration as needed.<br>• Respond to questions about rates, charges, and service guidelines by providing clear and courteous explanations.<br>• Review account concerns related to billing, usage changes, and meter activity to identify issues and support resolution.<br>• Work closely with field personnel to schedule and follow up on service requests, meter-related activity, and assigned work orders.<br>• Update and maintain customer records in the billing system with a high level of accuracy and completeness.<br>• Accept payments, document account activity, and help customers understand available payment arrangement options when applicable.<br>• Communicate important service-related updates, including planned interruptions, meter work, and policy changes.<br>• Address customer concerns professionally, de-escalate challenging situations, and route complex matters to the appropriate team when necessary.<br>• Follow established procedures, service standards, and applicable regulations in all customer interactions and account handling.
<p>We are looking for a dedicated <strong>Utilization Management Representative</strong> to join our client's team in Pearland, Texas, on a contract basis. The<strong> Utilization Management Representative</strong> position focuses on supporting the Utilization Management department by ensuring accurate and timely processing of authorization requests while maintaining clear communication with providers and members. The <strong>Utilization Management Representative</strong> role offers an opportunity to contribute to operational efficiency, regulatory compliance, and quality patient care in a health insurance environment.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><ul><li>Handle inbound calls from providers, members, and facilities regarding authorization requests, status updates, and coverage questions</li><li>Review and process authorization requests received via phone, fax, and electronic systems</li><li>Create and document authorization cases accurately within utilization management systems or EHR platforms</li><li>Route cases requiring medical necessity review to clinical staff (RNs, LVNs, Medical Directors)</li><li>Communicate authorization determinations to providers and members in compliance with regulatory requirements</li><li>Maintain accurate, timely documentation to support compliance and operational standards</li><li>Collaborate with internal teams to ensure efficient case processing and resolution</li></ul><p><br></p>