Tracking Code 216703-955
Job Description:
Assist members, prospective members, providers, and/or external vendors with member health plan benefit information, claim status, medical authorizations, health plan documents, and/or product information over the phone. Calls may be inbound or outbound. Employee may follow a script. Proficiently able to explain company products. Documents information into database. Calls are usually recorded for quality and verification purposes. May be a member of the Customer Service, Inbound Verification, Telemarketing, Pharmacy, or other department.
Required Skills:
Responsible for answering benefit questions, resolving issues, and educating callers. Knowledge of products, processes, and systems. May have to seek guidance for more complex questions, complains, or issues.
Minimum Requirements:
High School graduate; Less than five years of call center / customer service experience in a healthcare setting; Strong data entry skills; PC proficiency; Excellent verbal and written communication skills.
Preferred Requirements:
College degree; bi-lingual in some markets.