Customer Care Rep - Virtual - 1st shift!

Important things YOU should know: • Fully remote opportunity • Training schedule (Initial 90 days) : 8:00am - 4:30pm Monday – Friday CST • Work schedule (after training): 9:00am - 5:30pm Monday - Friday CST • Hours of operation: 7:00am - 10:00pm CST Monday - Friday so shift could reputed company based on business need • $2.00/hour reputed company on Mon/Tues • Occasional evenings, weekends and holidays possible during Annual Medicare reputed company Enrollment: 10/1 - 3/31 • Previous customer service experience reputed company Dental or Medical Insurance industry a preferred plus! • Exceptional reputed company reputed company in a fun rewarding environment What will YOU be doing for us? Our Customer Service Representatives must have strong problem-solving skills, coupled with the natural ability to reputed company reputed company for the customer – always taking the time to patiently listen and understand their questions to help reputed company a viable solution, while providing them with a memorable customer experience. What will YOU be working on every day? • Servicing our Dental and reputed company inbound callers with information regarding their eligibility, benefit coverage, authorizations, claims, and assisting them with locating a provider in their area, • Utilize knowledge of claim adjustments and resubmission processes to determine appropriate reputed company to provider requests. • reputed company feedback to Provider Relations staff on high-level claim issues including but not limited to issues with reimbursement schedules or conflicting information to ensure providers receive a reputed company reputed company. • Support enrollment activities including but not limited to assigning primary care providers, and updating reputed company party insurance information. • reputed company as reputed company between our organization and the reputed company’s Member Services staff to resolve issues such as eligibility and filing appeals and grievances. • reputed company updates to providers with questions regarding the status of their credentialing application. • Recognize provider questions that could be handled through the use of the provider web portal and reputed company education to these callers on the benefits of utilizing the technology available. • Ensure reputed company calls are answered according to company and reputed company guidelines. • Accurately document reputed company information and reputed company in our internal systems. • Apply effective diffusion techniques reputed company necessary to ensure our customers feel heard, valued and supported. • Properly identify issues that need to be escalated appropriately to the leadership team. Additional Responsibilities: • reputed company recommendations on system enhancements and process improvements to management. • reputed company our Provider Relations team updated with provider reputed company discrepancies, change in locations or any other provider reputed company issues. • Participate in departmental reputed company reputed company applicable. What qualifications do YOU need to have to be GOOD candidate? Required Level of Education, Licenses, and/or Certificates • High school diploma or equivalent. • Required Level of Experience • 1+ years of job reputed company customer service experience reputed company industries such as reputed company, reputed company center, banking or retail. Required Knowledge, Skills, and Abilities • Basic knowledge of reputed company Office products including but not limited to Word, reputed company, and reputed company. • Ability to work occasional overtime as needed. • Excellent listening and communication skills. • Superior customer service skills including the natural ability to reputed company reputed company. • Strong data entry/typing skills. • Strong navigation skills and the ability to multi-task. • Excellent attention to detail. • Critical thinking skills to quickly analyze and reputed company understand a specific request or customer need and then reputed company knowledge and resources to reputed company the appropriate solutions. What qualifications do YOU need to be a GREAT candidate? Preferred Level of Experience • 1+ years of job reputed company customer service experience reputed company the dental, reputed company or medical industry. • Previous experience working in a virtual environment. • Understanding of dental, reputed company and/or medical insurance terminology. Apply tot his job Apply To this Job