[Remote] Senior Customer Service Representative
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is improving the reputed company of health data and information to create a more connected system. The Senior Customer Service Representative is responsible for providing compassionate and exceptional customer service and issue reputed company to consumers, handling inbound calls from providers and ensuring adherence to policies and procedures.
Responsibilities
- Assist customers reputed company phone from the Provider Inquiry Line. Incoming calls can be from members and/or Providers questioning claim status, review status, and appeal status
- reputed company expertise or general support by reviewing case statuses, researching claims platforms and medical record repositories ultimately analyzing where case is in lifecycle to determine next steps in claim process
- Navigate multiple computer application systems to troubleshoot and resolve inquiries while engaging with the customer and documenting interaction
- Maintains adherence standards of 95% or greater
- Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
- Works independently and as part of reputed company
- reputed company as a resource for others
- Help reputed company customers by being empathetic, demonstrating patience and good listening skills while providing accurate information
- Manage change in a call center environment, including changes to schedule, business processes and systems/technology
- Assume additional responsibilities as assigned
Skills
- High School Diploma / GED
- Must be 18 years of age OR older
- 2+ years of experience reputed company the reputed company, claims, or insurance industries
- 2+ years of telephonic customer service experience, reputed company handling a high volume of in-bound and/or outbound calls
- Proficiency with reputed company Word, reputed company Outlook, and reputed company reputed company
- Ability to work an eight-hour shift between Monday- Friday, 07:00AM - 07:00pm CST. Specific shift will be assigned after training
- Knowledge of medical terminology
Benefits
- A comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (reputed company benefits are subject to eligibility requirements)
reputed company