Apply📍 United States
💸 37440.0 USD per year
🔍 Healthcare
🏢 Company: external
- Customer Service experience or equivalent
- Must be available to report to the Baton Rouge Corporate Campus for the onsite components of new hire training.
- Commitment to training program
- Hardwired internet connection with speeds greater than 5MB upload and 10MB download
- Must demonstrate PC skills including Microsoft Office (e.g., Word, Excel, Outlook , etc.) and related software as other corporate software progrms and applications.
- Demonstrated verbal and written communication skills with the ability to interpret and communicate information with tact, diplomacy, patience and professionalism.
- Familiarity with medical and health insurance terminology preferred
- Conflict resolution skills and remains calm under pressure/stressful situations
- Must be able to to demonstrate critical thinking and problem solving skills
- Demonstrate attention to detail
- The ability to actively listen and ask appropriate questions, to effectively understand issues that are presented from customers.
- Reading comprehension skills are required due to the high amount of direct customer contacts and the need to understand customer contract benefits and training materials.
- Effective organizational and interpersonal skills are required.
- Must have the ability to multi-task and handle work independently as well as organize and prioritize multiple customer issues.
- Ability to take ownership of issues from the beginning, seeking First Call Resolution (FCR)
- Must be able to verbally communicate on the telephone in a call center environment approximately 95% of the time in the Customer Care Center.
- Must have ability to successfully complete Customer Service training, with demonstrated proficiency in training materials.
- Serve as first point of contact for the organization.
- Handle incoming calls from members and providers answering questions and offers guidance via the telephone with individuals in a prompt, courteous, and professional manner.
- Resolves benefit and claims inquiries received via the telephone, in person, or other acceptable receipt method from our members or providers in the call center .
- Promotes and maintains a positive company image through direct contact with customers.
- Complies with all laws and regulations associated with duties and responsibilities.
- Reviews and researches billing and healthcare claim inquiries from members and providers, to ensure proper benefits and/or payments are applied correctly; researches multiple computer systems/applications to verify data/information accuracy.
- Responds to inquiries regarding adjustments, refunds, edits and/or payment registers to ensure completeness, accuracy and customer satisfaction to members or providers.
- Maintains knowledge of required lines of business, changes to applicable company policies/procedures, recent laws and regulations, and related computer systems to ensure information is current and accurate when providing service to members or providers on the telephone in the call center.
- Meet Customer Service performance goals/expectations in the areas of efficiency, accuracy, quality, production, customer satisfaction, and attendance
- The ability to verbally communicate on the telephone approximately 95% of the time.
Customer serviceMicrosoft OfficeAttention to detailOrganizational skillsWritten communicationMultitaskingInterpersonal skillsProblem-solving skillsVerbal communicationActive listeningComputer skills
Posted 3 days ago
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