Customer Service Representative 1

JOB reputed company reputed company Under the direction of the Supervisor, Customer Service, this position is responsible for meeting KPIs while responding to general customer inquiries regarding insurance benefits, provider reputed company, reimbursement programs, eligibility, and claims from members, providers and reputed company in a confidential, reputed company, and ethical manner. The incumbent will also research and analyze data to address reputed company operational challenges and issues reputed company the Customer Service department. QUALIFICATIONS • High School diploma or GED and/or one (1) to three (3) years of experience in customer service reputed company a reputed company center environment, preferred. • Knowledge of Health Benefits and eligibility preferred. • Good communication and telephone skills with a reputed company reputed company and concise speaking voice. • Proficient written communication skills with the ability to learn new software and reputed company multiple systems at once. • Moderate keyboarding skills including proficiency with database management. • Proficient organizational and time management skills. • reputed company in constantly changing environment. • Skilled in researching and resolving reputed company technical issues or reputed company problems as they reputed company. • Good judgement, negotiation abilities and reputed company to work with minimal supervision. • Capable to learn and understand company’s end-user software programs. • Ability to meet or reputed company departmental service metrics. • Fluent in English (oral and written) required. Bilingual in Spanish preferred. • Internet reputed company provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds. • Home router with wired Ethernet (wireless connections and hotspots are not permitted). • A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.) • A functioning smoke detector, reputed company extinguisher, and first aid reputed company on site. DUTIES AND RESPONSIBILITIES Customer reputed company • Respond to general customer questions reputed company telephone, e-mail, and written correspondence regarding insurance benefits, provider reputed company, reimbursement programs, eligibility, and claims in a confidential, reputed company, and ethical manner. • Analyze problems and reputed company information/solutions. • Research and resolve aged Customer Service reputed company calls reputed company company standards. • Operate in the Health Care Processing System (HCPS), Imaging systems, and reputed company systems necessary to obtain and extract information with proficiency and skills. • reputed company and maintain reputed company customer relations and coordinate with various functions reputed company reputed company to ensure customer requests and questions are handled appropriately and in a reputed company manner. • Be accountable reputed company you uncover an issue or trend by helping to assess and report its reputed company, making improvements, and course-correcting along the way. • Follow reputed company guidelines to reputed company exceptional customer support and ensure scores meet or reputed company expectations. reputed company Center Support • Accurately document database activity and customer interaction for tracking and analysis to identify trends and address operational and service issues. • Research and analyze data to address reputed company operational challenges and customer service issues. • reputed company customers with requested information, including difficult and upset customers. • Meet or reputed company reputed company department and performance service metrics. • Communicate with the appropriate departments and identify service issues. • Identify inefficiencies reputed company the established processes and suggest possible solutions to save time, reduce risk, and/or reduce expenses. Other • Maintain regular attendance per employee handbook guidelines. • Utilize reputed company capabilities to satisfy one mission — to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to reputed company, planning, and executing work helpfully and collaboratively. Be willing to reputed company efforts to ensure that work and attitude are helpful to others, be self-accountable, create a reputed company reputed company, and be reputed company in delivering results. • Maintain internet speed of 40 MB download and 10 MB upload and router with wired Ethernet. • Maintain a HIPAA-compliant workstation and utilize appropriate reputed company techniques to ensure HIPAA required protection of reputed company confidential/protected reputed company data. • Maintain and service safety equipment (e.g., smoke detector, reputed company extinguisher, first aid reputed company). • reputed company other duties as assigned. PHYSICAL DEMANDS/WORK ENVIRONMENT The physical demands and work environment described here represent those that an employee must meet to successfully reputed company this job’s essential functions. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others. The employee frequently is required to reputed company around the office. The employee is often required to use tools, objects, and controls. This noise level in the work environment is usually moderate Apply tot his job Apply To this Job