SuperStaff

Customer Service Representative – Healthcare

SuperStaff

full-time

Posted on:

Origin:  • 🇵🇭 Philippines

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Job Level

Junior

About the role

  • Take inbound and make outbound calls regarding specified requests, common questions and pursue one call resolution for health share members and providers
  • Work with all departments to ensure that members and providers receive accurate health share information as determined by the Membership Guidelines
  • Answer incoming calls from members and providers and follow-up with outbound calls as necessary
  • Resolve general member and provider issues by phone or email
  • Identify and escalate issues as necessary
  • Recognize and document trends or problems that may arise in operations and alert management when needed
  • Provide accurate health sharing information and service to members and providers
  • Obtain and review medical records as necessary
  • Ensure member information and eligibility is accurate and up to date
  • Explain detailed information regarding eligibility to both members and providers
  • Be coachable and willing to learn and provide excellent customer service

Requirements

  • High School Diploma and/or GED required
  • At least 1 year of customer service experience required
  • Healthcare experience preferred (reviewing and/or verifying medical records)
  • Associates or higher degree preferred
  • Critical thinking and problem-solving skills
  • Self-motivated, goal-oriented individual
  • Excellent written, verbal, and interpersonal communication skills
  • Work independently and in a team environment
  • Strong computer skills and working knowledge of Microsoft Outlook
  • Excellent phone etiquette and customer service skills
  • Familiarity with medical policies and procedures and HIPPA
  • Google Suite including Share Drives, Email and Internet
  • Call center phone software and/or operating systems
  • Salesforce knowledge preferable
  • Is coachable and willing to learn
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