Customer Service Representative

Overview

• Handle inbound/outbound provider calls for voice support
• Address all queries from Providers (Eligibility and Benefits, claim status, Authorization, other inquiring pertaining to the account of the Member) supported by the business.
• Understand the Account's Business Strategy and managed care direction.
• Utilize and be familiar with current system functions, applications and enhancements.
• Additional responsibilities include development and training of self and co-workers.
• Suggest and shares ideas for system improvements.
• The Healthcare Associate must achieve and maintain the Account's Key Performance Measures.
• Provide exceptional customer service to callers over the phone.
• Adhere to schedule and changes as advised by the Immediate Supervisor.

Job Requirements

• College degree of any 4-year course or Completed at least 2 years in college with 6 months customer serv...