- Assist management staff with special projects: i.e., PCP monthly projects (MIS-Assignments, PCP error reports)
- Record and respond to all Customer contacts and update in tracking system. Manage and ensure appropriate follow-up and closure for all customer contacts.
- Provide on-site as well as telephone orientations to new and existing members.
- Strive for first call resolution, working to resolve member and provider issues as the point of contact
- Utilize dual monitors and leverage computer-based resources to find answers to customer questions
- Research and respond accurately to all customer inquiries related to eligibility, benefits/ services, claims and authorizations.
- Classify and record all customer encounters clearly and concisely.
- Identify and escalate complex issues and provide follow-up/ closure.
- Identify and intake customer complaints capturing all pertinent information.
- Assist members with PCP selection, as well as, locating providers and vendors within Plan's network.
- Verify and update member demographic information.
- Process requests for member materials, such as ID cards, member guide, provider directory, etc.
- Handle enrollment inquiries and generate sales leads.
- Handle disenrollment requests and pro-actively conduct retention efforts.
- Perform outreach related to New Member Orientation and PCP Term/ Resign projects.
- Process premium payments.
- All other duties and special projects as assign by the Director of Customer Services.
- Ability to work between 8:00AM and 6:00PM Monday - Friday, and 9:00AM-5:00PM Saturday
- Training class (Paid): 9:00AM-5:00PM Monday-Friday
- High School graduation or evidence of having satisfactory passed a High School Equivalency Program; and
- 3 year of experience in a call center environment handling high volume of calls required
- Proven experience in providing excellent service to customers in various healthcare related areas, (i.e. insurance, doctor's office, medical clinics)
- Poise under pressure when dealing with difficult situations and potentially upset customers
- Integrity and Trust
- Customer Focus
- Functional & Technical Skills
- Written/Oral Communication
- Ability to work in a fast-paced environment while keeping a high attention to detail
-
Call Center Representative
3 weeks ago
True Care Brooklyn, United States**Company Overview**:True Care is a licensed Home Care Agency providing outstanding homecare service in the New York Metropolitan area. Our passionate dedication to our clients sets True Care apart. We work with our clients individually to ensure their satisfaction and comfort wi ...
-
Call Center Representative
2 weeks ago
True Care Brooklyn, United States**Company Overview**: Empowering Health, Enriching Lives: True Care's Enduring Mission · At True Care, we stand as a beacon of compassion and excellence in home healthcare. With a profound commitment to enhancing the quality of life for individuals and families, our mission is to ...
-
Call Center Representative
2 weeks ago
LaSante Health Center Brooklyn, United States**Responsibilities**: · - Answer incoming calls courteously and promptly, confirming customers' language preferences as you assist them. · - Record information accurately into ECW · - Provide assistance and information to enhance patient experience. · - Serve as a liaison between ...
-
Call Center Representative
2 weeks ago
BYou Laser Clinic Brooklyn, United StatesIf you are friendly and have good communication skills, you're the type of person we want to talk to. Previous experience in customer service, receptionist, data entry, marketing, human resources, would be a great fit. Even though this is not a sales position, prior experience ge ...
-
Call Center Representative
3 days ago
REAL SOLUTION PARTNERS Brooklyn, United States**About us** · We are professional, agile and professional. · Our work environment includes: · - Modern office setting · - Food provided · - Food provided · - Modern office setting · - Work-from-home days · **About Us** · - A fast-growing international company with offices in Lvi ...
-
Customer Experience Center Representative
2 weeks ago
KINGS BAY YM - YWHA Brooklyn, United StatesCustomer Service Representative · The opportunity · Kings Bay Y/ JCC Brooklyn is a community space that connects, uplifts and inspires. It is a Jewish Community Center with and without walls. We welcome everyone from all religious, racial, and ethnic backgrounds as we provide a w ...
-
Call Center Representative
2 weeks ago
Genie Solutions Newark, United States**Job Title**: Call Center Representative · **Location**: New Jersey, NY · **Company**: Chat Genie · **About Us**: · Chat Genie is a leading provider of innovative customer engagement solutions, specializing in chatbot technology. We are dedicated to revolutionizing the way busin ...
-
Call Center Representative
2 weeks ago
Genie Solutions Manhattan, United States**Job Title**: Call Center Representative · **Location**: New York City, NY · **Company**: Chat Genie · **About Us**: · Chat Genie is a leading provider of innovative customer engagement solutions, specializing in chatbot technology. We are dedicated to revolutionizing the way bu ...
-
Call Center Representative
1 week ago
Jayestech LLC New York, United States**Duties**: · - Schedule appointments, reminder calls to patients. · - Book and reschedule clinic appointments. · - Answer customer inquiries regarding their clinic appointments. · - Must answer phones, utilize in house and pagers, make overhead announcements. · - Other assignmen ...
-
Call Center Customer Service Representative
3 weeks ago
ITTrail Blazers Brooklyn, United StatesHello · I have an exciting opportunity with one of our clients that matches your skillset. If you are available and interested, please contact me at your earliest convenience. This opportunity will move quickly, so please reply as soon as possible. · **Job title** - Information C ...
-
Call Center Representative
5 days ago
Blossom & Ivory New York, United States**Join Our Team as a Call Center Representative at Blossom & Ivory** · **Location**: New York City · **About Us**: · Blossom & Ivory stands as a beacon of elegance and sophistication in the heart of New York City, offering a curated selection of fashion, home decor, and lifestyle ...
-
Call Center Representative
1 week ago
NYC 311 Call Center New York, United StatesNYC311 is the front door to your career with the City of New York. · **Overview**: · NYC311 is seeking highly motivated and customer-focused individuals to join our award-winning team as Call Center Representatives. · As a Call Center Representative, you will be responsible for p ...
-
Call Center Representative
4 days ago
General Vision Services, LLC. New York, United StatesAs a Call Center Representative focused on vision insurance, you will be an essential link between our organization and our valued members. Your role will involve providing exceptional customer service, addressing inquiries related to vision benefits, and ensuring a seamless expe ...
-
Customer Center Representative
1 week ago
Feldco Windows, Siding & Doors Elmhurst, United States**Customer Service Representative At Vertical Chimney Care** · **Salary**: · The pay rate for this position will be 17.00/Hour · **Schedule**: · Monday through Friday From 8am to 4:30pm; Occasional Saturdays based on seasonal business demands will be required (roughly once per mo ...
-
Call Center Representative
1 week ago
Kovach Eye Institute Ltd Elmhurst, United StatesThe Call Center Representative is responsible for facilitating a positive patient experience by handling a high volume of incoming calls within a fast-paced environment while delivering World-Class Customer Service. · - Answers up to 100+ inbound calls per day and greets patients ...
-
Call Center Representative
3 days ago
ITTrail Blazers Queens, United StatesLooking for a call center representative with a large number of call handling experience and good data entry skills(Minimum 2 years of experience in call handling) · **Job Types**: Full-time, Contract · Pay: $17.00 per hour · Expected hours: 40 per week · **Benefits**: · - 401(k) ...
-
Call Center Representative Ii
1 week ago
MetroPlusHealth New York, United States**Empower. Unite. Care.**: · **MetroPlusHealth** is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud ...
-
Call Center Representative
1 week ago
Creattix Talk Jersey City, United States**Job Title**: Call Center Representative · **Location**: Philadelphia, PA · **Department**: Customer Service · **Job Type**: Full-Time · **Key Responsibilities**: · **Customer Interaction**: Handle inbound and outbound customer calls in a professional and courteous manner. · **P ...
-
Call Center Representative
3 days ago
ITTrail Blazers Long Island City, United States**Position**:Customer Service Rep / Call center rep** · **Location: Long Island City, NY ONSITE ONLY** · **Pay rate: $17/hr on W2** · **Duties**: · Handles Heavy Incoming Call Volume · **Job Types**: Full-time, Contract · Pay: $17.00 per hour · Schedule: · - 8 hour shift · - Day ...
-
Call Center Representative
3 days ago
ITTrail Blazers Long Island City, United States**Position**:Customer Service Rep / Call Center** · **Location: Long Island City, NY 11101** **Pay rate: $17/hr** · - Must have 2 - 4 years of experience in customer service with database experience. · - High School Diploma/GED is required. · - Experience in handling a high volum ...
Call Center Representative II - Brooklyn, United States - MetroPlus Health Plan
Description
Call Center Representative II
Job Ref: 106931
Category: Call Center
Department: CALL CENTER
Location: 50 Water Street, 7th Floor,
New York,
NY 10004
Job Type: Regular
Employment Type: Full-Time
Hire In Rate: $50,000.00
Salary Range: $50, $55,620.00
Empower. Unite. Care.
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.
About NYC Health + Hospitals
MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Position Overview
Call Center Representatives (CSRs) are responsible for providing comprehensive high-quality service to all customers. The primary responsibilities, include but are not limited to documenting all customer contacts into the tracking system, process complaints, conduct outreach efforts, assist in PCP selection, conduct new member orientations, claims review inquiries, handle provider and utilization management inquiries, etc. Under the Level II title, the Call Center Representative will continue Level I functions and be assigned additional responsibilities in areas that require assistance such as providing support to management staff and escalate issues within Call Center.
Job Description
Minimum Qualifications
Professional Competencies:
#LI-Hybrid