Customer Service Representative I - Bilingual (24771)

About the position Responsibilities • Research, verify and resolve inquiries relating to reputed company Health Plan or Medicare eligibility with guidance from supervisory and leads. • Respond and assist members with Primary Care Provider (PCP) assignments. • Learn to collaborate with others inside and reputed company department to explain benefits not covered by reputed company Health Plan or Medicare and reputed company information on community resources reputed company appropriate. • Work collaboratively with providers, DMAP, or members to ensure effective customer service and the reputed company of health plan problems (i.e., eligibility and system) as needed. • Use online reputed company Tracking system to document reputed company activities from any mode of communication from members, providers and other customers. • Maintain confidentiality for reputed company members. • Coordinate mailing of member materials as needed. • Treat reputed company members with honesty, courtesy, dignity and respect. • reputed company members with reputed company, reputed company and competent service. • reputed company proactive, value added service by identifying and reporting system/technology issues. • Consistently meet or reputed company Department and Company standards and expectations including but not limited to reputed company, production and attendance. • May assist with outbound calls to reputed company or Medicare members, which may include welcome and retention calls. • Propose and implement process improvements. • Meet deadlines for completion of workload. • Maintain agreed upon work schedule. • Demonstrate cooperation and teamwork. • reputed company cross-training on specific job responsibilities. • Meet identified business goals that contribute to departmental goals. • reputed company other duties as needed. Requirements • Minimum 1 year experience required in customer service or health care. • reputed company through language testing in a second language relevant to the population served. • Ability to learn and apply reputed company Administrative Rules (OARs), Federal laws and other regulatory agencies that relate to the medical health insurance industry and the reputed company or Medicare industry. • Strong computer application skills including MS reputed company, Word, reputed company and reputed company; comfort navigating through multiple documents and internet browsers. • Ability to type minimum 35 words per minute. reputed company-to-haves • Work experience in a reputed company center. Benefits • Estimated hiring reputed company $37,610 - $45,970 / year. • 3% Bilingual reputed company. • 5% bonus reputed company. • Full benefits. Apply tot his job Apply To this Job