- 2-years of experience in a high-volume customer service environment.
- 1-year experience in health insurance industry.
- bilingual - English/Spanish
- Assist providers by resolving coordination of benefits inquiries by analyzing patient activity (including enrollment, third party liability, and claims attachments).
- Interpret and communicate accurate insurance coverage by having a comprehensive understanding of the process.
- Thoroughly and completely document all customer interactions.
- Educates customers and dental professionals on eligibility, benefits, claims payment, and authorizations.
- Provides direction on the usage and benefits of self-service tools.
- Assist members on gaining access to care by locating a network dentist or assignment to a primary care dentist
- Resolves claim payment inquiries by researching and analyzing patient activity and determines appropriate action to be taken.
- Telephone Etiquette
- Active Listening
- Spanish
- Call Center
- Health Insurance Policies
- Medical Terminology
- Years of experience: 2 years
- Experience level: Experienced
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Customer Service Representative - Laguna Woods, United States - Randstad
Description
Job Description
Job DescriptionThe Customer Service Representative position interacts with customers to provide and process information in response to general inquiries, concerns, and requests about products and services across multiple lines of business. The CSR must project a professional company image and provide superior customer service by corresponding with customers via any of the company's customer contact channels.Requirements:
shift: First
work hours: 9 AM - 6 PM
education: High School
Responsibilities
Skills
Qualifications
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
Applications accepted on ongoing basis until filled.
Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
