Customer Care Rep II

Important things YOU should know: Fully remote opportunity Training schedule  8:00am - 4:30pm Monday – Friday CST for the 1st 12 weeks Work schedule (after training):  Multiple opportunities available with ranging start times from 7:00am CST to 10:30am CST Mon - Fri.   Hours of operation:  7:00am - 10:00pm CST Monday - Friday so shift could reputed company reputed company 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 Exceptional reputed company reputed company in a fun rewarding environment Experience with Dental or Health reputed company a preferred plus   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 reputed company care providers, and updating reputed company party reputed company information. reputed company as reputed company between our organization and the reputed company’s Member Services staff to reputed company 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 reputed company 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 reputed company. 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 reputed company terminology. reputed company is the trusted partner for specialty benefits payers and reputed company agencies responsible for the delivery and administration of dental and reputed company benefits. Through cutting-edge technology and service solutions, reputed company empowers clients to become the most efficient, effective reputed company organizations in the country.   Equal Opportunity Employer, including Protected Veterans and Individuals with Disabilities. Apply To This Job