Job description
Do you see yourself working from home providing world class customer service?
- Location: Remote
- Hours: Monday - Thursday, 9am - 5:30pm CST
- Pay: $17/hour & Up, additional pay of $2/hour on Mondays and Tuesdays
- Paid training: Monday - Friday, 8AM – 4:30PM CST - 3 weeks of classroom training and 3-4 weeks of on-the-job training
What will YOU be doing for us?
Our Customer Service Representatives must have strong problem-solving skills, coupled with the natural ability to provide empathy for the customer – always taking the time to patiently listen and understand their questions to help find a viable solution, while providing them with a memorable customer experience.
What is in it for YOU?
- Career growth in an inclusive culture
- Paid training
- Health benefits
- 401(k)
What will YOU be working on every day?
- Servicing our Dental, Medical and Vision callers with information regarding their eligibility, benefit coverage, authorizations, claims, and assisting them with locating a provider in their area,
- Utilize knowledge of claim adjustments and resubmission processes to determine appropriate resolution to provider requests.
- Provide feedback to Provider Relations staff on high-level claim issues including but not limited to issues with reimbursement schedules or conflicting information to ensure providers receive a prompt resolution.
- Support enrollment activities including but not limited to assigning primary care providers, and updating third party insurance information.
- Act as liaison between our organization and the client’s Member Services staff to resolve issues such as eligibility and filing appeals and grievances.
- Provide updates to providers with questions regarding the status of their credentialing application.
- Recognize provider questions that could be handled through the use of the provider web portal and provide education to these callers on the benefits of utilizing the technology available.
- Ensure all calls are answered according to company and client guidelines.
- Accurately document call information and resolution in our internal systems.
- Apply effective diffusion techniques when necessary to ensure our customers feel heard, valued and supported.
- Properly identify issues that need to be escalated appropriately to the leadership team.
Additional Responsibilities:
- Provide recommendations on system enhancements and process improvements to management.
- Keep our Provider Relations team updated with provider manual discrepancies, change in locations or any other provider related issues.
- Participate in departmental projects when applicable.
What qualifications do YOU need to have to be GOOD candidate?
- Required Level of Education, Licenses, and/or Certificates
- High school diploma or equivalent.
- Required Level of Experience
- 1 -3 years of job related customer service experience (reception, call center, banking, retail)
- Required Knowledge, Skills, and Abilities
- Basic knowledge of Microsoft Office products including but not limited to Word, Excel, and Outlook.
- Ability to work occasional overtime as needed.
- Excellent listening and communication skills
- Superior customer service skills including the natural ability to provide empathy
- Strong data entry/typing skills
- Strong navigation skills and the ability to multi-task
- Excellent attention to detail
- Critical thinking skills to quickly analyze and clearly understand a specific request or customer need and then leverage knowledge and resources to provide the appropriate solutions.
Home Office Requirements:
- Private, secure, distraction free workspace
- Computer equipment will be provided by the company
- Internet Connectivity Requirement/Remote Positions: For 100% remote positions, we require that: (you have high speed broadband cable internet service with minimum upload/download speeds of 3Mbps/30Mbps
Be part of a team committed to a culture of Respect, Ownership, Innovation and Integrity.
We offer exceptional professional growth opportunities; a casual, friendly work environment; and competitive wage and benefits
APPLY TODAY!
This opportunity is for US residents only.
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