We are seeking a Medical Customer Service Representative. This role involves engaging with customers in a healthcare context, providing solutions to their inquiries, and ensuring their satisfaction. This job opportunity offers a contract to permanent arrangement, giving the successful candidate an opportunity to work in a dynamic and fast-paced setting.
Responsibilities:
• Address customer inquiries via phone and email, ensuring prompt and accurate responses.
• Analyze and resolve requests from customers, including policyholders, beneficiaries, and healthcare providers.
• Stay informed about changes in our healthcare plans and communicate necessary information to customers.
• Manage customer complaints and troubleshoot issues in a detail oriented and polite manner.
• Use our systems for tracking, information gathering, and troubleshooting, maintaining accurate customer records.
• Collaborate with team members to ensure a smooth and efficient service.
• Inform customers about pre-authorization for medical treatment, claim status, benefit information, and provider information.
• Greet customers in a detail oriented manner, adhering to the suggested script.
• Escalate complex queries or issues to your manager for further assistance.
• Educate members and healthcare practitioners about the details of members' benefits.
• Document and track all calls and interactions via our computer system.
• Minimum of 1 year experience in a customer service role
• Proven experience in a Medical High Volume Call Center
• Proficiency in using Microsoft Outlook
• Experience or background in Health Care
• Excellent communication and interpersonal skills
• Ability to handle customer complaints and provide appropriate solutions
• Strong problem-solving skills and the ability to think on your feet
• High level of patience and empathy towards customers
• Ability to work in a fast-paced environment
• Willingness to work in shifts as customer service may require 24/7 support
• High school diploma or equivalent; higher degree in a relevant discipline will be appreciated