Customer Service Representative (Temporary)

Job Description

REQUIREMENTS

* Highschool Diploma is required and an Associate Degree preferable.

* Minimum 2 years working in a fast-paced high volume call center environment. Healthcare experience is a plus.

* Good oral and written communication skills

* Good computer skills are required.

RESPONSIBILITIES

* Update account information such as billing options and changes of address or phone numbers.

* Research premium billing discrepancies and prescription claims processed.

* Educate beneficiaries on how the plan works, including benefits, cost sharing and levels of coverage.

* Submit mail requests for beneficiaries such as ID cards and formularies.

* Look up medicines on the formulary to verify if they are covered, the tier and copay level, and if a drug is not covered, provide an explanation as to why.

* Displays positive demeanor, technical accuracy and conformity to company policies.

* Understands CMS Guidance and ensures applicable exhibits are being mailed per CMS Guidance.

* Ensure HIPAA regulations are maintained within the immediate environment.

* Responsible for concise and detailed notations as it pertains to member records.

* Handles outbound calls for purposes of validating information.

* Handles inbound calls by assisting members with a high level of accuracy and efficiency.

* Escalates any member issues to management as necessary.

* Responsible for maintaining a high level of call quality as set by client standards, which includes a 95% quality score and answering 80-85% of calls within 30 sec or less.

* Communicate with coworkers, management and customers in a courteous/professional manner.

* Conform with and abide by all regulations, policies, work procedures and instructions.

* Respond promptly when returning telephone calls and replying to correspondence.

* Act and behave in a professional manner to reflect a positive image of the company.

Are you interested in this position?

Apply by clicking on the “Apply Now” button below!

#CrossChannelJobs #JobSearch
#CareerOpportunities #HiringNow
#Employment #JobOpenings
#JobSeekers
#FacebookLinkedIn