MEDICAL CUSTOMER SERVICE REPRESENTATIVE
Company: Career Movers and Shapers
Location: Miami
Posted on: April 8, 2021
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Job Description:
Job DescriptionOur client is looking for 15 Member Service
Representatives to assist in their busy call center. You will
assist in increasing member satisfaction by providing professional
and accurate responses to incoming inquiries regarding network,
plan benefits, eligibility, authorizations, plan guidelines and
processes, as well as claims and pharmacy issues. This is a full
time, temporary to possible permanent position.ESSENTIAL JOB
FUNCTIONSProvide accurate information about eligibility, benefits,
network details, authorization requirements, and claims processes
to members or members representatives in a professional and timely
manner.Make outbound calls to assigned members.Keep up and respond
to voicemails left by members - within 1 business day.Focus on
achieving departmental goals & objectives based on tenure.Use
negotiating skills when dealing with emotional customers.Maintain
an up to date and thorough knowledge of Company's product offerings
and plan guidelines specific to job code.Properly document all
calls/contacts as required by department standards in a clear and
concise manner.Provide accurate research and resolution to member
issues in accordance with established procedures.Escalate
unresolved issues to the next level and/or appropriate area when
necessary.Properly identify issues as possible grievances or
appeals and follow those procedures accordingly.Act as a liaison
between the member and internal/external entities when
necessary.Maintain strict confidentiality of all sensitive
information.QUALIFICATIONSHigh school diploma or
equivalent.Bilingual - English and Spanish a plus.Call Center
experience required.Minimum two (2) years experience in customer
service in health care field.Knowledge of medical terminology,
managed care industry and insurance billing guidelines
preferred.Company DescriptionCareer Movers and Shapers is a proven
recruiting/staffing firm. Career Movers and Shapers has a proven
history of placing talented professionals in positions in South
Florida. Associated topics: agente de servicio al cliente, answer,
call center, call center representative, customer service
representative, customer service specialist, intern, support,
telephone, tsr
Keywords: Career Movers and Shapers, Miami , MEDICAL CUSTOMER SERVICE REPRESENTATIVE, Sales , Miami, Florida
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