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    Customer Service Representative - Rockford, United States - Arcadia Solutions, LLC

    Arcadia Solutions, LLC
    Arcadia Solutions, LLC Rockford, United States

    5 days ago

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    Description

    **Customer Service Representative**

    Remote / Value Based Care Clinical Operations / Full-time Due to Covid19 we are working 100% remotely, this includes the hiring process. When it is safe to do so, we will return to a hybrid of onsite and remote work for some positions. **Why This Role Is Important To Arcadia**

    Our Customer Service Representatives are responsible for answering the phones in a timely manner, being a skilled problem solver, have the ability to work well with others along with meeting set quality standards. Be courteous and professional while providing information to callers. Plus additional projects and assistance with mailing projects as needed.

    **What Success Looks Like** **In 3 month** - Knowledge and understanding of all systems used in Client Services. - Listen to incoming calls - Perform outbound calls / training - Perform outbound communication through email / training - Handle incoming calls with guidance

    **In 6 months** - Handle incoming calls independently - Perform navigation through all systems used in Client Services - Achieve quality and AHT departmental goals

    **In 12 months** - Work on special projects when needed - Handle returned calls and voicemails - Work towards SME of Customer Service + Assuring the accurate and timely handling of client and member calls with total follow through

    + Providing excellent customer service

    + Answering client and provider questions including, but not limited to claims payment, status and coverage information

    + Interpreting client health plan protocol

    + Backup to the claims processing area by assisting with reports and workflow queues as assigned

    + Check tracer documentation

    + Maintaining accurate and complete call documentation

    + Maintaining high level of professionalism

    + Returning incoming calls

    + Other duties as assigned

    + 1 to 3 years customer service experience, preferable in the healthcare field

    + Health Care/Health insurance background preferred

    + Experience with BCBS HMOI or other insurance plans a plus

    + Use of multiple systems including Microsoft Office

    + Excellent verbal and written communication skills

    + Good attention to detail and commitment to quality

    + Positive mental attitude

    + Ability to multi-task

    + Deadline oriented

    + Ability to work independently with minimal supervision

    + HMO Managed care Medicare Advantage experience.

    + High volume call center experience.

    + Fluent in English and Spanish

    **About Arcadia** helps innovative healthcare systems and health plans around the country transform healthcare to reduce cost while improving patient health. We do this by aggregating massive amounts of clinical and claims data, applying algorithms to identify opportunities to provide better patient care, and making those opportunities actionable by physicians at the point of care in near-real time. We are passionate about helping our customers drive meaningful outcomes. We are growing fast and have emerged as the market leader in the highly competitive population health management software and value-based care services markets, and we have been recognized by industry analysts KLAS, IDC, Forrester and Chilmark for our leadership. For a better sense of our brand and products, please explore our , our , and our interactive .

    *This position is responsible for following all Security policies and procedures in order to protect all PHI under Arcadia's custodianship as well as Arcadia Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager.*

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