Job Title : Healthcare Call Center Representative
Pay : $17.25 an hr Bi-weekly
Job Type : Onsite in San Antonio, TX
Start date : 10 / 25 / 24
Shift Options :
Training M-F 8-4 : 30 Monday - Friday Hours between 7 : 00AM - 6 : 30PM, Rotating Saturday Schedule
Healthcare Call Center Representative Overview :
- This position involves extensive member contact via the telephone.
- Handles inbound / outbound calls from participants and / or prescribers when needed to start and process order requests.
- Ability to research and investigate orders using PeopleSafe and LINKS.
- Research issues sent by Customer Care, Account Managers, internal customers and Quality Assurance relative to the customer service experience.
- Notifying requestor of decisions, changes, or other relevant information pertaining to request / inquiry.
- Responsible for researching and resolving payment issues.
- Call to offer a direct sale of medications to participants and posting payments to the proper account.
- Perform required transactions to complete mail order prescriptions.
- Follow through on standard operating procedures, problem-solving and troubleshooting within guidelines.
- Ability to work under strict turn-around-times.
- Knowledge of Medicare, Medicaid, and 3rd party vendors is a plus.
- The primary responsibilities are to verify insurance coverage for potential new clients.
- Additionally, this person will re-verify insurance coverage for existing patients in order to process patient prescription needs successly and demonstrate excellent customer services to patients, healthcare professionals, and insurance carriers.
- This role will require an understanding of insurance concepts, including drug cards, major medical benefits, and per diem coverage, as well as knowledge of government and patient assistance programs.
- Strong attention to detail, and proven analytic and problem solving.
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