The Opportunity
Description
We're looking for a Customer Service Representative , working in the Healthcare Systems & Services industry in New Mexico, United States .
We are hiring aggressively, and have recruiters on standby to interview you anytime between 9 : 00 am to 6 : 00 pm Eastern Standard Time (though we are hiring in more than just eastern time zones!) Monday through Friday.
So hurry up and apply today!
In this permanent work-at-home role, you will take your exemplary customer service skills, patience, understanding and compassion to answer inbound phone calls for our clients' members or customers.
We offer medical, dental, vision, and 401K benefits as well as earned PTO. Salary is up to $13.25 / hr in training, and $14.25 / hr in production.
Responsibilities :
- Perform PCP Change / Provider Lookup.
- Look up Medical Benefits such as benefit maximums, copay / coinsurances, Prior Authorization pre-requisite, and coverage.
- Review of Ancillary Benefits such as Dental, Vision, Over the Counter, etc.
- Process claims inquiries, Member may receive a bill for a service (ex : MRI procedure).
- Answer enrollment / disenrollment inquiries.
- Answer Grievances / Complaints.
- Perform billing such as making payments, transaction history, premium inquiries, etc.
- Manage LEP inquires and disputes.
- Assist in material request such as ID cards, Large / Brail print materials, and Catalogs.
- Provide self-help options such as member portal.
- Provide local locations to pharmacies, OTC and Specialist.
Experience Required for Your Success
- At least High School diploma or equivalent
- Minimum of 18 months Call center experience
- Healthcare background a plus
- Minimum of 2 years Computer Experience in work environment
- Ability to multi-task
- Strong written and oral communication skills
- Ability to display empathy and care
- Dedicated area to work from in your home
- Internet speed requirement of 50 Mb / s for download speeds and 10 Mb / s for upload speeds (Wireless access / WIFI is not permitted)
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