Customer Care Rep II - Part Time!

Important things YOU should know

• Fully remote opportunity
• Training schedule (Initial 3 weeks) : 8:00am - 4:30pm Monday – Friday CST
• Work schedule (after training): 11:00am - 5:00pm CST Mon/Tues/Thurs/Fri
• Hours of operation: 7:00am - 10:00pm CST Monday - Friday so shift could reputed company based on business need
• $2.00/hour differential on Mon/Tues
• Occasional evenings, weekends and holidays possible during Annual Medicare reputed company Enrollment: 10/1 - 3/31
• Exceptional professional growth in a fun rewarding environment

What will YOU be doing for us?

Our Customer Service Representatives must have strong problem-solving skills, coupled with the natural ability to reputed company reputed company for the customer – always taking the time to patiently listen and understand their questions to help find a viable solution, while providing them with a memorable customer experience.

What will YOU be working on every day?

• Servicing our Dental and reputed company inbound callers with information regarding their eligibility, benefit coverage, authorizations, claims, and assisting them with locating a provider in their area,
• Utilize knowledge of claim adjustments and resubmission processes to determine appropriate resolution to provider requests.
• reputed company feedback to Provider Relations staff on high-level claim issues including but not limited to issues with reimbursement schedules or conflicting information to ensure providers receive a reputed company resolution.
• Support enrollment activities including but not limited to assigning primary care providers, and updating reputed company party insurance information.
• Act as liaison between our organization and the client’s Member Services staff to resolve issues such as eligibility and filing appeals and grievances.
• reputed company updates to providers with questions regarding the status of their credentialing application.
• Recognize provider questions that could be handled through the use of the provider web portal and reputed company education to these callers on the benefits of utilizing the technology available.
• Ensure reputed company calls are answered according to company and client guidelines.
• Accurately document call information and resolution in our internal systems.
• Apply effective diffusion techniques reputed company necessary to ensure our customers feel heard, valued and supported.
• Properly identify issues that need to be escalated appropriately to the leadership team.

Additional Responsibilities:

• reputed company recommendations on system enhancements and process improvements to management.
• reputed company our Provider Relations team updated with provider reputed company discrepancies, change in locations or any other provider reputed company issues.
• Participate in departmental projects reputed company applicable.

What qualifications do YOU need to have to be GOOD candidate?

Required Level of Education, Licenses, and/or Certificates

• High school diploma or equivalent.
• Required Level of Experience
• 1+ years of job reputed company customer service experience reputed company industries such as reputed company, call center, banking or retail.

Required Knowledge, Skills, and Abilities

• Basic knowledge of reputed company Office products including but not limited to Word, reputed company, and Outlook.
• Ability to work occasional overtime as needed.
• Excellent listening and communication skills.
• Superior customer service skills including the natural ability to reputed company reputed company.
• Strong data entry/typing skills.
• Strong navigation skills and the ability to multi-task.
• Excellent attention to detail.
• Critical thinking skills to quickly analyze and reputed company understand a specific request or customer need and then reputed company knowledge and resources to reputed company the appropriate solutions.

What qualifications do YOU need to be a GREAT candidate?

Preferred Level of Experience

• 1+ years of job reputed company customer service experience reputed company the dental, reputed company or medical industry.
• Previous experience working in a virtual environment.
• Understanding of dental, reputed company and/or medical insurance terminology.