Healthcare Customer Service -Remote in Missouri
About the position
Responsibilities
• Manage inbound and outbound calls, responding to member and provider inquiries with professionalism and accuracy.
• Provide information on membership options, benefits, and account status on behalf of our clients.
• Review, verify, and process membership applications efficiently, ensuring completeness and accuracy of all required information.
• Maintain and update member information in our CRM systems, ensuring data integrity and accuracy across multiple client accounts.
• Handle multiple client accounts and responsibilities simultaneously, managing calls, processing paperwork, and updating databases without compromising on quality.
• Perform regular audits of member data to ensure compliance with client standards and industry regulations, identifying and rectifying any discrepancies.
• Coordinate with other teams within ImageNet, including IT, customer service, and quality assurance, to resolve issues and enhance service delivery for our clients.
• Continuously identify opportunities to streamline processes and contribute to initiatives that improve client satisfaction and operational efficiency.
• Receive and respond to calls primarily from members, providers, and occasionally other health plans, providing information on the status of authorization requests.
• Address and manage re-direct requests and handle requests to re-fax authorization documents as needed.
Requirements
• High school diploma or equivalent.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
• Experience with CRM systems or membership databases.
• Strong typing and data entry skills, with the ability to manage multiple systems simultaneously.
• Attention to detail with a keen ability to detect and correct errors in data.
• Proven track record of effectively managing multiple tasks and priorities in a busy work environment.
• Excellent verbal and written communication skills, with the ability to articulate information clearly and confidently to members.
• Strong analytical capabilities with a focus on identifying issues and implementing solutions quickly and effectively.
• A passion for delivering exceptional service to clients and their members.
Benefits
• Dental insurance
• Health insurance
• Health savings account
• Paid time off
• Paid training
• Vision insurance
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