Customer Service Representative - LHB
New
Continental United States, excluding: Alaska, New York, California, or HawaiiFull-TimeMiddle
Salary20 - 22 USD per hour
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Job Details
- Experience
- Minimum 1 year previous customer service experience
- Required Skills
- Microsoft Excel
Requirements
- High School diploma or GED equivalent
- Minimum 1 year previous customer service experience
- Ability to work in a fast-paced, high demand, structured service oriented environment
- Excellent verbal, written and interpersonal communication skills
- Ability to effectively deal with problems in varying situations and reach resolution in a timely manner
- Strong reasoning and analytical skills
- Ability to resolve issues for customers quickly and accurately while maneuvering between multiple systems/screens while on the phone
- Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form
- Flexible; open to continued process improvement
- Ability to learn new/proprietary systems
- Ability to adapt to various system platforms
- Ability to effectively use MS Excel/Word
- Possess private, dedicated workspace free from distractions with secure, consistently reliable high speed Internet
- Ability to hardwire via Ethernet cable
- Prior experience in a fast-paced call center (Preferred)
- Self-Funded Insurance/Benefits and/or TPA experience (Preferred)
- Knowledge of medical procedure and diagnosis coding (Preferred)
- Knowledge of medical terminology (Preferred)
- Familiarity with Summary Plan Documents (SPDs)/Insurance Booklets or other benefit descriptive tools (Preferred)
- Experience working in a performance measured environment with quality metrics (Preferred)
Responsibilities
- Provide quality service by accurately and respectfully responding to telephonic, written and electronic inquiries
- Respond to inquiries from employees/members, providers and clients in a high volume call center
- Handle inquiries on topics such as benefits, eligibility, claim status, and claim disposition
- Seamlessly navigate multiple system applications/screens, various resources and tools
- Accurately respond to inquiries while on the phone
- Thoroughly and accurately document all inquiries and actions taken using applicable software applications
- Follow Luminare Health guidelines
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