Healthcare Customer Service Specialist - San Antonio, United States - Equity Staffing Group

    Equity Staffing Group
    Equity Staffing Group San Antonio, United States

    4 weeks ago

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    Description

    Equity Staffing is searching for a Healthcare Customer Service Specialist In San Antonio, TX. This position is with a Fortune 500 organization. Our client serves more than 85 million people and has a reputation for bold ideas. If you enjoy working with energetic people in a collaborative environment, we want to speak with you

    *** Candidate must reside within commuting distance of San Antonio, TX ***

    Specific Duties

    • Receives and responds to escalated pharmacy inquiries from all communication venues: e.g. phone queue, portal, claim queue, department e-mail box or fax.
    • Coordinates and assists initial screening of MAP enrollment requests via all communication venues; as well as administrative preparation for clinical staff.
    • Conducts in-bound and out-bound calls for program requirements including, but not limited to: patient scheduling, surveys/screenings, reminder calls, census management and distribution of materials to appropriate clinical personnel or patients.
    • Initiates the process of granting, modifying, denying, or terminating assistance, or referring applicants to other agencies for assistance.
    • Collects and maintains eligibility information in an appropriate and confidential manner.
    • Interviews applicants by phone for program requirements
    • Enters all assigned applications within a specified time frame in order to ensure eligibility deadlines are met accordingly.
    • Exhibits excellent phone and communication skills while providing complete and accurate information to customers.
    • Requests additional or supplemental information via correspondence in order to complete applications.
    • Adheres to assigned schedule and quality metrics.
    • Uses a multi-lined telephonic system to answer calls regarding eligibility requirements.
    • Maintains abreast of program qualifications in order to troubleshoot problems that may arise during the eligibility process.
    • May serve as a subject matter expert for other Care Team Associates on the Quality Pharmacy team.
    • Completes calls/assignments and ensures census management, productivity weekly and monthly standards are met.
    • Provides clerical and/or administrative support to clinical staff and managers for special studies, projects and reports.
    • Provides excellent customer service by serving as a resource to all internal and external customers.

    Must have qualifications/experience:

    • High School Diploma or equivalent
    • Call Center experience
    • 1+ years Customer Service Representative (CSR) experience
    • 1+ years experience with adult Medicaid programs and CMS guidelines
    • Bilingual(English/Spanish) language proficiency
    • Medical Terminology
    • Experience working in a fast paced team environment
    • Great Multitasker
    • Positive Attitude
    • Good Typing Skills
    • Great Customer Service Skills
    • Attention to Detail
    • Strong Organizational Skills
    • Effective communication skills both written and verbal
    • Strong computer skills
    • Proficient in Microsoft Office Suite of Tools.
    • Critical thinking skills.
    • Ability to work with others

    REMOTE/ONSITE: Onsite, San Antonio, TX

    Shift Start/End Time: Training will be Monday through Friday 8 am to 5 pm for 4 weeks and production will be Monday through Friday 9 am to 6 pm with rotating Saturdays.

    Dress Code: Business Casual

    Equity Staffing Group is one of the fastest growing Native American owned staffing companies in the United States. We are a certified Minority Business Enterprise (MBE) by the National Minority Supplier Development Council (NMSDC) and the Rocky Mountain Minority Supplier Development Council (RMMSDC).

    Equity Staffing Group is an Equal Employment Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. Equity Staffing Group will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

    We welcome you to learn more about our company by visiting .

    #indnitph