Concierge Customer Service Rep - Lake Mary, United States - Medwatch LLC

Medwatch LLC

Verified Company

Lake Mary, United States

4 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Scope:

This is a critical position requiring excellent customer interaction skills. Individual is expected to accurately service and satisfy customers by responding to customer inquiries.

Concierge/Customer Service Representative needs to be versatile and equipped with a strong skill set to handle the complexity of the job.

Responsibilities:

Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers.
Assist members with benefits and healthcare questions.
Document all calls received in system-based call log.

Knowledge, Skills and Abilities

Strong customer relations, interpersonal skills.
Strong appreciation and ability to handle confidential & sensitive information.
Knowledge of provider organizations and networks.
Knowledge and understanding of CMS Medicare reimbursement rates.
Ability to effectively negotiate rate structures.
Patience and ability to handle difficult situations tactfully and diplomatically.
Takes initiative to resolve situations and to accomplish projects actions and tasks.
Excellent verbal and written communication skills.
Independent judgment in decision making and problem solving.
Ability to multi-task & anticipate potential needs/problems.
Ability to build relationships with internal and external customers.
Strong attention to detail.
Understanding of Self-Funded health benefits a plus.
Health Payor background preferable in self-funded industry a plus
Claim processing skills a plus.
Insurance verification or pre-certification a plus
Provider office/facility billing department or financial area
TPA experience a plus.
Strong computer skills
Strong analytical and research skills
Bilingual a plus

Education:

Associates Degree or higher preferred but not required, Minimum High School Diploma or G.E.D.

Experience:

Customer Service / Call Center experience

The pay range for this position is $16.00 to $18.00

We are an Equal Opportunity Employer