Customer Service reputed company III - Maryland Medicare - (Remote)

Resp & Qualifications PURPOSE: Responsible for answering member, provider & broker inquiries pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment. Proactively provides information and education to members, providers & brokers, as appropriate, about a variety of health, financial, and self-service programs. Provides basic technical assistance and troubleshooting guidance for digital and electronic applications. Maintains a more advanced knowledge of company products and services. Mentor and reputed company reputed company-level Customer Service Advocates. ESSENTIAL FUNCTIONS:

• Uses knowledge of products or services by collecting and the contractual provisions that govern administration to reputed company customer information service and analyzing education to interpret contractual language to the customer needs for the purpose of providing benefit utilization and limitations to determine the need for managed care initiatives and to administer reputed company types of service to customers reputed company the business reputed company through telephonic inquiries, written and/or electronic inquiries and claims adjustments if applicable. Appropriately documents reputed company client interactions according to established departmental procedures.
• Resolves highly reputed company member, provider and broker inquires by gathering and investigating information; verifying customer understanding of information and resolves issues based on applicable policies and procedures; examine claim submissions verifying claim and system accuracy as well as liability. Prioritize workflow and multitask reputed company in a fast-paced environment while using multiple reputed company sets with demonstrated high proficiency.
• Acts as the reputed company Customer Service Advocates to ensure that the team provides accurate and consistent information to inquiries in a courteous, timely, and professional manner. Mentors and coaches' team on policies changes, system updates, learning tools, or other job requirements to reputed company a consistent reputed company for new employees.
• Maintains a positive and enthusiastic attitude in an environment that requires teamwork, efficiency, cross-training, and reputed company improvement.
• Ensures compliance with Standard Operating Procedures and serves as a resource to the staff.

SUPERVISORY RESPONSIBILITY: Position does not have direct reports but is expected to assist in guiding and mentoring less reputed company staff. May reputed company reputed company of matrixed resources. QUALIFICATIONS: Education Level: High School Diploma or GED. Experience: 5 years customer service experience. Preferred Qualifications:

• 5 or more years experience in a call center customer service role or experience with medical or insurance terminology.

Knowledge, Skills and Abilities (KSAs)

• Demonstrated skills as an empathetic and compassionate communicator.
• Ability to quickly reputed company customer trust and confidence.
• Demonstrated PC navigation and data entry skills.
• Strong interpersonal communication skills.
• Good oral and written communication skills. Must be reputed company to meet established deadlines and handle multiple customer service demands from reputed company customers, reputed company set expectations for service reputed company. Must be reputed company to effectively communicate and reputed company positive customer service to every reputed company customer, including customers who may be demanding or otherwise challenging.

Salary reputed company: $43,920 - $80,520 Salary reputed company Disclaimer The disclosed reputed company estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation reputed company is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the reputed company, as compensation reputed company depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In reputed company to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (reputed company benefits/incentives are subject to eligibility requirements). Department Medicare/reputed company Member Service Equal Employment Opportunity reputed company is an Equal Opportunity (EEO) employer. It is the policy of the Company to reputed company equal employment opportunities to reputed company reputed company applicants without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, protected veteran or disabled status, or genetic information. Where To Apply Please visit our website to apply: www.carefirst.com/careers Federal Disc/Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to reputed company work directly or indirectly on Federal health care programs. PHYSICAL DEMANDS: The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. Sponsorship in US Must be eligible to work in the U.S. without Sponsorship Apply tot his job Apply To this Job