Bilingual Call Center Rep, Sr - Pulse Staffing

Houston, TX 77401

About the Job

ESSENTIAL DUTIES AND RESPONSIBILITIES

3 Years Customer service experience within managed care or insurance industry Or Call center experience within any industry- Required

• Verifies member eligibility through THMP and provides support for this activity for the Call Center Representatives, as
needed.
• Acts as a secondary resource to Call Center Representatives in the absence of the Team Lead. Responds to escalated calls
as appropriate and triages to Management, if necessary.
• Assists with processing workflow queues i.e., urgent requests to ensure timely submitted as requested by the Team Lead.
• Assists with onboarding of new hire employees after training in a Nesting environment. Provides the opportunity for job
shadowing and mentorship.
• Completes and manages Pharmacy queue / Right Fax.
• Assists members/providers with billing inquiries and resolves member/provider billing issues.

Remote- must be local in the event that there is a need to come in the office.

Skills:

• Knowledge of managed care, Medicaid, call center desktop support applications, customer relations techniques and
general computer literacy.
• Benefits, claims processing or membership knowledge is preferred.
• The ability to work well with the public and adopt a customer perspective and work well individually and in a team
environment
• Effective interpersonal skills and phone etiquette are required
• Strong verbal communication skills
• Good listening skills
• Knowledge of medical terminology
• Problem identification and problem-solving skills and able to multitask
• Technical Skills: Typing, 35 WPM
• Bilingual (English Spanish) preferred

Member services experience and experience in a call center.

Skills:

Member services experience and experience in a call center.

Source : Pulse Staffing