Western Growers

Customer Service Representative

Western Growers

full-time

Posted on:

Location Type: Remote

Location: United States

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Job Level

Junior

About the role

  • Respond to general customer questions via telephone, e-mail, and written correspondence regarding insurance benefits, provider contracts, reimbursement programs, eligibility, and claims in a confidential, professional, and ethical manner.
  • Analyze problems and provide information/solutions.
  • Research and resolve aged Customer Service open calls within company standards.
  • Operate in the Health Care Processing System (HCPS), Imaging systems, and all systems necessary to obtain and extract information with proficiency and skills.
  • Develop and maintain positive customer relations and coordinate with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
  • Be accountable when you uncover an issue or trend by helping to assess and report its impact, making improvements, and course-correcting along the way.
  • Follow quality guidelines to provide exceptional customer support and ensure scores meet or exceed expectations.
  • Accurately document database activity and customer interaction for tracking and analysis to identify trends and address operational and service issues.
  • Provide customers with requested information, including difficult and upset customers.
  • Identify inefficiencies within the established processes and suggest possible solutions to save time, reduce risk, and/or reduce expenses.

Requirements

  • High School diploma or GED and/or one (1) to three (3) years of experience in customer service within a call center environment, preferred.
  • Knowledge of Health Benefits and eligibility preferred.
  • Good communication and telephone skills with a very clear and concise speaking voice.
  • Proficient written communication skills with the ability to learn new software and navigate multiple systems at once.
  • Moderate keyboarding skills including proficiency with database management.
  • Proficient organizational and time management skills.
  • Adaptive in constantly changing environment.
  • Skilled in researching and resolving standard technical issues or client problems as they arise.
  • Good judgement, negotiation abilities and capacity to work with minimal supervision.
  • Capable to learn and understand company’s end-user software programs.
  • Ability to meet or exceed departmental service metrics.
  • Fluent in English (oral and written) required. Bilingual in Spanish preferred.
Benefits
  • Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.
  • Home router with wired Ethernet (wireless connections and hotspots are not permitted).
  • A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)
  • A functioning smoke detector, fire extinguisher, and first aid kit on site.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
customer servicedatabase managementproblem analysisresearch skillsclaims processinghealth benefits knowledgetelephone skillswritten communicationtime managementnegotiation
Soft Skills
communicationorganizational skillsadaptabilityjudgmentaccountabilitycustomer relationsconfidentialityprofessionalismteam coordinationconflict resolution
Certifications
High School diplomaGED