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