- Provide superior customer service to all incoming callers to ensure an exceptional customer experience.
- Receive and respond to incoming calls from members, member advocates, providers, health plan representatives, etc. Identify and resolve issues
- Provide assistance with inquiries such as eligibility, authorizations status, PCP changes, appeals and grievance intake, and various other inquiries.
- Assist callers in connecting with other internal departments or external parties such as partner PCP offices, health plans, pharmacies, etc.
- Educate callers on the use of the member and provider web portal.
- Properly identify member's health plan assignment for appropriate re-directing when necessary.
- Collect, verify and update member demographic information in systems.
- Make outbound calls for follow up purposes when needed. Set reasonable follow up expectations with callers and meet or exceed those
- High School Diploma or GED required. Associates or bachelor's degree preferred.
- Minimum of 2 years of ACD call center experience required.
- Minimum of 1 year in medical or healthcare environment preferred.
- Bilingual in Spanish preferred5.Superior customer service skills with the ability to provide service recovery as needed. 6. Ability to communicate professionally, diplomatically, clearly and concisely, both verbally and in writing with others. 7. Ability to answer a high volume of calls in a fast pace call center environment.
- Proficient with computer software including Microsoft Office applications (Outlook, Excel and Word).7. Ability to successfully interact with members, medical professionals, health plan and government representatives.
- Ability to type a minimum of 35-40 words per minute
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Patient Care Representative/CSR - Anaheim, United States - North American Staffing Group
Description
Job Description
Job DescriptionMedica is excited to share this CSR/Customer Service Rep temp position with you We are looking for experienced customer service reps to join our team in Anaheim
Pay: $23hr
Location: Anaheim Call Center
Responsibilities:
Education and Skills:
INDMED