Description : Call Center Representative. Company : iCare Health Options (Medegy). Location : +1 locationRemote
Description:
We are seeking a full-time Customer Service Representative to join our Support Services team. What we look for in a candidate is someone who exhibits a pleasant attitude and willingness to help others. These traits are essential in assisting our customers in a friendly and respectful manner. In addition to people skills, we encourage our representatives to be goal-oriented and express a desire to learn new tools and skill sets. Ideal candidates are positive, energetic, enthusiastic, and computer savvy.
Essential Functions
Direct communications with members, providers, and health plans
Confirmation of benefits and eligibility information to members, providers, and health plans
Provide confirmation of participating providers in the network
Provide claim status to members, clients, and providers
Resolves problems by identifying the customer's complaint; selecting and explaining the best resolution for the issue; escalates to upper management when necessary
Keep managers informed of any issues that may require their attention in order to avoid or resolve an existing problem.
Apply knowledge, experience, common sense, and critical thinking to all issues being dealt with. Multi-task and prioritize
Respond to general inquiries from members and providers (plan benefits, limits, co-pays, deductibles, policy procedures, reimbursements, etc.). Redirect callers when necessary
Follow up until completion on all issues that are not resolved on the initial contact, and keep parties updated on steps and actions taken
Service the maximum number of callers in the quickest and most efficient way without sacrificing the quality of the service
Requirements:Job Specifications
Typically has the following skills or abilities:
High school diploma or equivalent certification
1+ year of Member Services experience in Healthcare industry
Computer literate and can quickly navigate in a Windows PC environment
Preferred Skills
Bilingual (English and Spanish)
Strong understanding of health plan terminology
