Communicate with customers primarily by phone to verify and correct demographic information
Research and resolve a variety of customer demographic inquiries at the point of service to ensure customer retention and satisfaction.
Obtain information from the customers and communicate feedback for follow-up when required to ensure satisfactory resolution.
Educate providers via phone to ensure inquiry resolution.
Ensure delivery of accurate information updates for input into all of the Company’s applications.
Serve as a liaison to other departments to provide inquiry resolution and identify center operational issues.
Collaborate, coordinate, and communicate across disciplines and departments.
Ensure compliance with HIPAA regulations and requirements.
Demonstrate Company’s Core Competencies and values held within.
Please note due to the exposure of PHI-sensitive data – this role is considered to be a High-Risk Role.
The position responsibilities outlined above are in no way to be construed as all-encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
REQUIREMENTS
Minimum HS Diploma or GED
Minimum 6 months of customer service experience in an office environment
Call center or telephone experience in a similar environment or industry
Knowledge of medical and claim terminology
Communication (written, verbal, listening), organizational, problem-solving, leadership, customer service, interpersonal, follow up and data entry skills
Ability to demonstrate reliability and dependability
Ability to handle escalated situations in a customer service-oriented and professional manner
Ability to maintain confidentiality in all required situations
Ability to dissect, organize and format multiple types of complex provider data for promotional use and/or reporting
Ability to customize communication style to educate internal and external customers
Ability to work independently as well as part of a team
Ability to prioritize and manage time
Ability to use software, hardware, and peripherals related to job responsibilities, including Microsoft Excel and other Microsoft Office products
BENEFITS
We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.
Your benefits will include:
Medical, dental, and vision coverage (low copay deductible)
Life insurance
Short- and long-term disability
401(k) + match
Generous Paid Time Off
Paid company holidays
Tuition reimbursement
Flexible Spending Account
Employee Assistance Program
Summer Hours
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