Job Details

ID #21198079
State New York
City Newyorkcity
Job type Contract
Salary USD TBD TBD
Source InfiCare Technologies
Showed 2021-10-16
Date 2021-10-16
Deadline 2021-12-14
Category Et cetera
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Call Center CSR 1

New York, Newyorkcity, 10001 Newyorkcity USA

Vacancy expired!

Job Title - Call Center CSR 1 Job Location - Tallahassee, Florida, 32317 Job Start Date - 9/13/21 Job End Date - 12/31/21 Job Description - Summary: Training Schedule : 8 AM to 5 PM EST subject to changes if necessary. Post Training Schedules: May vary upon call volumes and other factors. As of October 15th, all contractors and employees onsite at client site must either be fully vaccinated against COVID-19 or submit to a weekly COVID-19 test. This Call Center Representative is a front-line service position aiding Wyoming Benefits Management System and Services (WY BMS) members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations are to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards. This position is in Tallahassee, Florida Must to have : Healthcare experience What You Will Do: Responsible for meeting call handling requirements and daily telephone standards as set forth by management; accurately respond to inbound phone calls and processing provider and member inquiries and requests into the appropriate system and database. Under general supervision, resolve customers' service or billing complaints by demonstrating sound judgement; contact customers to respond to complex inquiries or to notify them of claim investigation results and any planned adjustments. Under general supervision, resolve customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction; refer unresolved customer grievances, appeals, and claim resolution to designated departments for further investigation. Actively listen and probe callers in a professional and timely manner to determine purpose of the calls; keep records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken. Under general supervision, research and articulately communicate information regarding member eligibility, benefits, services, claim status, and authorization inquiries to callers while maintaining confidentiality. Assist efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies. Assume full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal). Educate providers on how to submit claims and when/where to submit a treatment plan. Under general supervision, perform necessary follow-up tasks to ensure member or provider needs are completely met. Support team members and participate in team activities to help build a high-performance team. Thoroughly document customers' comments/information and forward required information to the appropriate staff. Escalate calls to Call Center Lead when necessary. Medicaid experience as a plus Who You Are: You are a High School graduate or have equivalent experience. You will be available to work from 7:00 AM to 6:00 PM Mountain Time on all State business days, Monday through Friday (excluding Wyoming State holidays). You possess good verbal and written communication skills, attention to detail, customer service skills and interpersonal skills. You can work independently and manage your time and can accurately document and record customer/client information. You have customer service-related experience. You have previous experience with computer applications, such as Microsoft Word and PowerPoint. You must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills. You must be able to maneuver through various computer platforms while verifying information on all calls. You must be able to talk and type simultaneously. You must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment. If you can speak Bilingual Spanish, it would be "a plus". You must be able to manage difficult calls with angry customers without getting rattled. You must be proficient in windows computer systems and able to navigate multiple monitors and systems simulatenously. Regards Parul Singh Lead Technical Recruiter InfiCare Technologies| 22375 Broderick Drive #225 Dulles VA 20166 | 703.652.7500 Direct | parul@infiCareTech.com www.infiCareTech.com Staffing Services since 2001 MBE Certified

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