- Provides first- level problem resolution to member, provider & broker inquiries via telephone by gathering and researching information; examine claim submissions verifying claim and system accuracy as well as liability, validate customer understanding of information and resolves issues based on applicable policies and procedures.
- Uses knowledge of products and the contractual provisions that govern administration to provide customer service and education, to interpret contractual language to the customer for the purpose of providing benefit utilization and limitations, to determine the need for managed care initiatives, and to administer all types of services to customers within the business segment through telephonic inquiries, written and/or electronic inquiries and claims adjustments, if applicable. Appropriately documents all client interactions according to established departmental procedures.
- Delivers accurate information to customers in accordance with performance goals and objectives.
- Maintains customer records by updating account information by effectively utilizing the business areas enrollment/inquiry tracking system & processes.
- Participates in ongoing education related to new services, industry topics, and skills.
- Dental Terminology.
- Less than 1 year experience in a call center customer service role or experience with medical or insurance terminology.
- Successful completion of the training provided.
- Demonstrated skills as an empathetic and compassionate communicator.
- Ability to quickly gain customer trust and confidence.
- Demonstrated PC navigation and data entry skills.
- Strong interpersonal communication skills.
- Good oral and written communication skills.
- Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
-
Customer Service Delivery Advocate
1 day ago
Carvana Baltimore, United StatesJob Description · Job DescriptionWe're looking for Customer Advocates with at least 2 years of customer-facing experience to build an exciting career at Carvana - the fastest-growing used automotive retailer in U.S. history and one of the four fastest companies to make the Fortun ...
-
Dental Customer Service Advocate I
1 week ago
CareFirst BlueCross BlueShield Baltimore, United StatesResp & 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 me ...
-
Customer Service Advocate I- MD June
1 week ago
CareFirst BlueCross BlueShield Baltimore, United StatesResponsible 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, p Customer Service, Advocate, M ...
-
Customer Service Advocate I- MD June
1 week ago
CareFirst BlueCross BlueShield Baltimore, United States**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 educatio ...
-
Customer Service Advocate
1 week ago
Ageatia Global Solutions Owings Mills, United StatesResponsibilities: · * Customer Service Advocate must demonstrate proficiency and consistently "meet or "exceed performance expectations in all of the requirements for the Sr. Customer Service Advisor. A primary function for Customer Service Advocate is to demonstrate the ability ...
-
Domestic Violence High Risk Team Coordinator
1 week ago
TurnAround, Inc. Baltimore, United StatesI. Summary: The Mayor's Office of Neighborhood Safety and Engagement (MONSE), through Turn Around, Inc, is hiring for a domestic violence high-risk team (DVHRT) coordinator; a non-Civil Service position funded through the Office on Violence Against Women's Improving Criminal Just ...
-
Special Assistant People's Counsel
2 days ago
Office of People's Counsel Baltimore, United States**DESCRIPTION** · The Office of People's Counsel ("OPC") is an independent Maryland State agency that advocates for Maryland's residential utility consumers. OPC represents the interests of residential customers of natural gas, electric, private water, and telecommunications util ...
-
Family Services Manager
4 days ago
United Way of Central Maryland Baltimore, United States** STATEMENT** · UWCM is well known for its Family Center programming, where high school student-parents participate in an array of supportive services designed to remove barriers on their path to high school graduation. The Family Center offers individual and group counseling, p ...
-
Peer Recovery Specialist
1 week ago
Volunteers of America Chesapeake Baltimore, United States**JOB SUMMARY**: · The Peer Recovery Specialist (PRS) provides support, guidance, and advocacy to individuals and families on the recovery continuum with addiction, mental illness, co-occurring disorders, and family/allies of behavioral health. Utilizing their lived experience, t ...
-
Peer Recovery Specialist
1 week ago
VOLUNTEERS OF AMERICA CHESAPEAKE AND CAROLINAS, INC. Baltimore, United States**JOB SUMMARY**: · The Peer Recovery Specialist (PRS) provides support, guidance, and advocacy to individuals and families on the recovery continuum with addiction, mental illness, co-occurring disorders, and family/allies of behavioral health. Utilizing their lived experience, t ...
-
Patient Advocate
6 days ago
MEDSTAR HEALTH Baltimore, United States**General Summary of Position** · **Job Summary**: · MedStar Health is looking for a Patient Advocate to join our MedStar Franklin Square Medical Center (MFSMC) team · The Patient Advocate will ensure that all patients, families, and guests receive the best customer service exper ...
-
Foundation Relations Officer
4 days ago
Johns Hopkins University Baltimore, United StatesThe Johns Hopkins Center for Gun Violence Solutions is seeking a **_Foundation Relations Officer._** · The Johns Hopkins Center for Gun Violence solutions was launched on April 1, 2022, merging the Center for Gun Violence Prevention and Policy at the Johns Hopkins Bloomberg Schoo ...
-
Counselors (Adt and Suds)
2 days ago
Unlimited Bounds Baltimore, United StatesUrgently Hiring · Required License/Certification: CSC-AD, CAC-AD, LGADC, LCADC, ADT · Interviews are being scheduled. · Key Qualifications: · - Conducts Initial SUD Assessments and ASAM for treatment eligibility determination. · - Completes concurrent ASAMs for ongoing treatment ...
-
Rehab Counselor
2 days ago
Secured Health and Human Services Baltimore, United StatesJob Overview: · - **Coordinate Care**: Collaborate with other healthcare professionals, such as psychiatrists, psychologists, social workers, and occupational therapists, to ensure comprehensive care. · - **Resource Referral**: Connect clients with community resources and service ...
-
Customer Service Team Member
1 week ago
I Am Champions LLC Baltimore, United StatesI Am Champions LLC has launched our new location in the heart of Baltimore and we are looking to fill positions. · I Am Champions LLC is a Michigan, based Company, We specialize in marketing, sales, customer service, and management nationwide. A customer service representative, o ...
-
Lab Technician
1 week ago
Actalent Baltimore, United States Full timeDescription: · The lab technician will be responsible for conducting standard microbiological testing like E.coli and Salmonella testing, as well as preparing and autoclaving the media. The lab tech will also be responsible for conducting waste water testing like titrations and p ...
-
Alcohol and Drug Trainee
6 days ago
Unlimited Bounds Baltimore, United States**Required MD License/Certification: Alcohol & Drug Trainee (ADT)** · Key Qualifications: · - Conducts Initial SUD Assessments and ASAM for treatment eligibility determination. · - Completes concurrent ASAMs for ongoing treatment eligibility. · - Develops and regularly updates cl ...
-
Csc-ad, Cac-ad, Lgadc, Lcadc, Adt
6 days ago
Unlimited Bounds Baltimore, United StatesRequired License/Certification: CSC-AD, CAC-AD, LGADC, LCADC, ADT · Key Qualifications: · - Conducts Initial SUD Assessments and ASAM for treatment eligibility determination. · - Completes concurrent ASAMs for ongoing treatment eligibility. · - Develops and regularly updates clie ...
-
Hcc Hospital Discharge Planner Ii
1 week ago
Johns Hopkins Care at Home Baltimore, United StatesJoin our team where we are not only patient focused but clinician focused too. · We take care of you, so you can care for the patients, your family and yourself. · Empowered and appreciated, our nurses are passionate about setting the standard for patient-centered health care in ...
-
Call Center Counselor
1 week ago
Baltimore Crisis Response, INC Baltimore, United States**Location**: · 5124 Greenwich Ave (On-site at main location) · Shift: · Saturday and Sunday from 3pm-11 pm Eastern (Every other weekend) · **Job Description**: · Supports the transition of services through the system of care by partnering with individuals receiving care and thei ...
Dental Customer Service Advocate I - Baltimore, United States - CareFirst
Description
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.ESSENTIAL FUNCTIONS:
QUALIFICATIONS:
Education Level: High School Diploma or GED.
Experience: Less than one year customer service experience.
Preferred Qualifications:
Knowledge, Skills and Abilities (KSAs)
Salary Range: $29,376 - $53,856
Salary Range Disclaimer
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed.
This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites 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 range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location.
In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
Department
Dental Full Service Operations
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.
It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Where To Apply
Please visit our website to apply:
Federal Disc/Physical Demand
Note:
The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform 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
REQNUMBER:
19715