Outbound Customer Service Representative - Pittsburgh, United States - Murtech

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    Job Description

    Job Description
    Job Title:
    Outbound Customer Service Representative


    Location: 100% remote – Local Delaware residents preferred but not required

    Schedule:
    Working 8:00am-4:30pm/8:30am-5:00pm Monday-Friday OR four 10-hour days (after probationary period) working 8:00am-6:30pm or 8:30am-7:00pm (option to take off Tuesday, Wednesday, or Thursday for four-day schedule)


    Start date: 6/3/2024

    Training: 5 weeks long and can be shortened/extended depending on the staff need

    Job Details:



    • Receive inbound calls; calls may involve claims status, rejections & benefit information; proficient computer skills
    • Communicate effectively with members
    • Initiate outreach efforts, primarily by telephone, to conduct screening/surveys of members who may benefit from Care Coordination assistance. (Ex.
    Members who have needs relating to Physical Health, Behavioral Health and Health Related Social Needs (SDOH)
    Required Qualifications:


    • High school diploma/GED
    • 1-3 years of Screening/Survey experience preferred
    • 1-3 years of Customer service experience required (open to candidates with more than 3 years' experience)
    • Must be comfortable working in a high call volume position (100 calls a day, with 50 being outbound calls and 50 being inbound calls)
    • Must be proactive, self-directed, assertive and creative in problem solving and system planning
    • Strong active listening skills with the ability to act sensitively toward diverse people and situations. Ability to successfully interact with external customers, peers, colleagues, and management team
    • Demonstrate effective time management skills and demonstrate an ability to prioritize and handle multiple tasks simultaneously
    • Must demonstrate sound judgment and discretion when approaching problems and making decisions

    Preferred Qualifications:


    • Candidates who are familiar with Delaware, local resources and the DE Medicaid population but it is not required
    • Minimum of 1-3 years of Call Center experience preferred
    • Previous medical experience preferred, previous outbound member outreach and the ability to escalate preferred
    • Experience with pediatrics preferred
    • Bilingual candidates preferred