Customer Service Representative - (Medical Claims) - Nesco Resource
Remote, OR
About the Job
Overview
Are you energized by working in a fast-paced call center and making a difference in the lives of members of the World Trade Center Health Program? Do you have excellent communication skills, strong customer service and organizational skills and want to be part of an organization where caring truly counts? Join our team of caring colleagues and help us make a difference in the lives of those, specifically survivors and the brave responders, directly affected by the September 11th terrorist attacks.
As a *** Government Solutions' Temp Member Care Advocate you will be responsible for providing high quality customer service to members of this important program.
Temp Member Care Advocate Responsibilities
Assist members with day-to-day benefits and health care related questions and/or issues
Answer phones and respond to incoming inquires timely and compassionately
Conduct member contacts related to benefit support, referral follow-up and resource inquiries
Assess callers' needs and triage to the appropriate internal team members per documented guidelines
Process incoming calls, voicemails, and chats from members and providers resolving their benefits related questions and issues in accordance with guidelines and policies.
Complete outbound calls to members and providers scheduling a variety of medical services in accordance with member and provider availability
Refer to resources and document all activities in system(s), ensuring contacts, information gathered, and next steps are properly documented
Performs other duties as assigned.
Qualifications
High school diploma or GED required.
Associate degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
Four (4) years of administrative and/or customer service experience or equivalent combination of education and experience required.
Experience working in a Call Center Environment preferred
Experience working in the Health Care industry preferred
Excellent oral and written communication skills
PC literate, including Microsoft Office products
Strong organizational skills
Good interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
Requirements:
Position will be Remote
Shift 9am 5:30pm EST
*Shift during training will be 8am 4:30pm (First 4-6 weeks)
Temp Member Care Advocate
Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Are you energized by working in a fast-paced call center and making a difference in the lives of members of the World Trade Center Health Program? Do you have excellent communication skills, strong customer service and organizational skills and want to be part of an organization where caring truly counts? Join our team of caring colleagues and help us make a difference in the lives of those, specifically survivors and the brave responders, directly affected by the September 11th terrorist attacks.
As a *** Government Solutions' Temp Member Care Advocate you will be responsible for providing high quality customer service to members of this important program.
Temp Member Care Advocate Responsibilities
Assist members with day-to-day benefits and health care related questions and/or issues
Answer phones and respond to incoming inquires timely and compassionately
Conduct member contacts related to benefit support, referral follow-up and resource inquiries
Assess callers' needs and triage to the appropriate internal team members per documented guidelines
Process incoming calls, voicemails, and chats from members and providers resolving their benefits related questions and issues in accordance with guidelines and policies.
Complete outbound calls to members and providers scheduling a variety of medical services in accordance with member and provider availability
Refer to resources and document all activities in system(s), ensuring contacts, information gathered, and next steps are properly documented
Performs other duties as assigned.
Qualifications
High school diploma or GED required.
Associate degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
Four (4) years of administrative and/or customer service experience or equivalent combination of education and experience required.
Experience working in a Call Center Environment preferred
Experience working in the Health Care industry preferred
Excellent oral and written communication skills
PC literate, including Microsoft Office products
Strong organizational skills
Good interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
Requirements:
Position will be Remote
Shift 9am 5:30pm EST
*Shift during training will be 8am 4:30pm (First 4-6 weeks)
Temp Member Care Advocate
Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Source : Nesco Resource