
Customer Service Representative
3 weeks ago
Customer Service Representative (Healthcare – Immediate Hiring). Position is to receive inbound calls from members enrolled in a Medicare, Medicare Advantage or Medicaid plan. Assist members with taking orders for plan-sponsored items, update account information, provide plan information and resolve issues related to plan benefits utilization. Place outbound calls as directed for member resolution. Work is in a standard office environment and may be onsite or remote (if applicable). The role requires sitting for long periods, computer use, and the ability to reach with hands and arms, talk and hear. Specific vision abilities include: close vision, distant vision, color vision, peripheral vision, depth perception and ability to adjust focus.
Responsibilities- Update account information, such as changes of address or phone numbers.
- Research members with benefit disputes.
- Educate members on how the plan works, including benefits, participating retail markets (if applicable), and items or products and services covered through the benefit.
- Submit catalog requests and retail card replacements to be mailed upon member request.
- Educate and assist members with website registration, utilization, and how to order through the online ordering app.
- Educate and assist members to use the mobile app.
- Make concise and detailed notations in member records.
- Answer questions pertaining to mailings sent out by the health plan.
- Communicate with coworkers, management, staff, customers, and others in a courteous and 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, dress, and behave in a professional manner to reflect a positive image of the company.
- High school diploma or equivalent.
- Minimum 6 months of customer service experience is preferred.
- Above-average computer skills, including the ability to work in a Windows environment and multitask within multiple software programs.
- Ability to communicate with coworkers, management, staff, customers, and others in a courteous and professional manner.
- Conform with and abide by all regulations, policies, work procedures, and instructions.
- Knowledge of customer service best practices and principles.
- Excellent data entry and typing skills.
- Superior listening, verbal, and written communication skills.
- Ability to handle stressful situations appropriately while demonstrating empathy.
- Resourceful, able to solve unstructured problems with little to no supervision in a fast-paced, high-stakes environment.
- Team player with strong interpersonal skills and ability to develop and maintain business relationships.
- Paid training
Do you have BPO experience? Are you amenable to working on shifting schedules? Can you work onsite at IT Park? How much is your asking salary?
Work Location: In person
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