TeleMedik

Customer Support

• Communicates with members by phone to provide information about services covered under their respective health insurance plan.
• Provides guidance, support, and educational services on non-clinical matters related to coverage and promotions of different plans.
• Handles incoming calls and refers them to the appropriate resources based on the member’s specific needs.
• Documents transactions by recording details of inquiries and actions taken.
• Refers unresolved customer complaints to the supervisor or designated departments for further investigation.
• Provides support for other Contact Center projects.
• Participates in training and development sessions.
• Performs other related duties as assigned.
• Ensures confidentiality and compliance with all applicable state and federal regulations for Health Call Centers, including HIPAA.

Bilingual Customer Service Representative

• Communicates with members by phone to provide information about their respective health insurance plan services.
• Offers guidance, support, and educational services on non-clinical matters related to the different plan coverages and promotions.
• Manages incoming calls and refers them to the appropriate resources based on the member’s specific needs.
• Documents and records transactions, including details of inquiries and actions taken.
• Refers unresolved customer complaints to a supervisor or designated departments for further investigation.
• Supports other Contact Center projects.
• Conducts outbound phone interviews with members regarding services, satisfaction levels, and follow-up activities.
• Participates in training and development sessions.
• Ensures confidentiality and compliance with all applicable state and federal health call center regulations, including HIPAA and internal policies for handling confidential information.
• Immediately reports any Protected Health Information (PHI) exposure to the supervisor.
• Complies with core and functional trainings, as well as all procedures established by regulatory agencies, contractual requirements, and applicable certification standards (including but not limited to URAC).