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Min Hourly Rate($): 17.00
Max Hourly Rate($): 17.00
Duluth - 07/29/2024
Training: 8:00 AM - 4:30 PM MT
Nesting: 10:00 AM – 6:30 PM EST
Production Operation Hours: ALL LOCATIONS
The Member Service Contact Center (MSCC) operates Monday – Friday 7:00AM – 9:00 PM and Saturday and Sunday 8:00AM to 7:00PM.
Summary: The Customer Services Representative is responsible for the increase in customer satisfaction and retention by providing members, customers, patients and providers with accurate, consistent, timely, and meaningful information. They will provide higher level support to members'''''''' inquiries and issues as they utilize the Client''''''''s Plan and provider services, continuing to build rapport and collaborative relationships with current and prospective members in accordance with compliance guidelines.
Major Responsibilities/Essential Functions:
Available to handle member inquiries regarding: Member Core: Facility Inquiry, Web Support, Promote Client, Order ID Card, Complaint, ID Card Inquiry, Service Review.
Member Advance: Eligibility Inquiry, Benefit Inquiry, General, Complaint, Correspondence Inquiry, Add/Remove Dependent, Service Review, New Member Exp, Internal Regional Request, IVR Defaults.
Medicare (For up to two (2) regions).
Premium Billing Enterprise: Billing Inquiry, Make Payment, Complaint, EFT Inquiry, General, Reinstatement Request, Service Review.
Billing, 1095 Tax Form, SLP* (escalations to Tier 3). Represents Health Plan by answering and documenting all incoming contacts to determine their nature and to respond to complex calls related to specialized product lines or queues. Responds professionally to inquiries from internal/external customers. Promotes, ensures and provides customer service to internal/external customers by demonstrating skills which are consistent with the organization''''''''s philosophy of providing extraordinary customer relations and quality service. Initiates contact with the appropriate Health Plan, medical group and facility personnel to obtain information relevant to the concern or inquiry as needed. Evaluates data to determine and implement the appropriate course of action to resolve the complaint and/or coordinate service recovery. Develop a full awareness of the way performance and actions affect members and Member Service. Contact Centers''''''''s (MSCC) performance guarantees (call handling, first call resolution, complaint resolution compliance, member retention, and return contact as warranted). Consistently supports compliance and the Principles of Responsibility (Client Code of Conduct) by maintains the privacy and confidentiality of information and protects the assets of the organization. Performs other relevant duties as required. Documents conversations with members according to procedure. Follows established procedures to meet customer/member needs. Required to effectively interact with diverse work units and relevant organizational departments. Has substantial understanding of the assigned skills and applies knowledge and skills to complete a wide range of tasks. Ability to understand relevant policies, processes and customers. Assist the department in meeting customer needs and reaching department expectations. Completes required training and understand how to use tools available to recall necessary information. Qualifications: -High School Diploma or General Education Development (GED) required.
Min Work Experience and Qualifications:
Basic Qualifications:
Minimum two (2) years of customer service experience or member-interacting experience required.
Additional Requirements:
Must pass CSR 1 Assessment.
Excellent written and verbal communication skills.
Demonstrated analytical and problem-solving skills.
Strong knowledge of systems used within the MSCC.
Ability to read and respond briefly, clearly and effectively.
Ability to think critically and problem solve.
Manage own work with minimal direction.
Must pass knowledge checks while in training.
Preferred Work Experience:
Health insurance and Call center exp preferred
Job Type: Contract
Pay: $16.00 - $17.00 per hour
Shift:
Weekly day range:
Work Location: On the road
Contractor
$37k-47k (estimate)
05/04/2024
05/14/2024
kaygentalent.com
Irvine, PA
25 - 50
The job skills required for Customer Service Representative include Customer Service, Call Center, Problem Solving, CSR, Billing, Customer Satisfaction, etc. Having related job skills and expertise will give you an advantage when applying to be a Customer Service Representative. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Customer Service Representative. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Customer Service Representative positions, which can be used as a reference in future career path planning. As a Customer Service Representative, it can be promoted into senior positions as a Customer Service Representative III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Customer Service Representative. You can explore the career advancement for a Customer Service Representative below and select your interested title to get hiring information.