Full time Bilingual (English/Spanish Only) Healthcare Customer Service Representative openings in the Tucson, Arizona area with a major healthcare company! Starting ASAP!! Apply now with Luke H. at A-Line!!!
Position Summary: The main function of a call center/customer service specialist is to interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints. A typical customer service specialist is responsible for determining the clients issue, offer possible solutions or providing follow-up as needed. Customer service agents may be inbound, outbound or a combination of both.
Pay Rate: $15.00 hourly
Shift: 40 hours per week - 8 hours per day
Monday - Friday 12:30pm - 9:00pm
Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
Provide assistance to members and/or providers regarding website registration and navigation
Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
Process written customer correspondence and provide the appropriate level of timely follow up
May coordinate member transportation and make referrals to other departments as appropriate
Maintain performance and quality standards based on established call center metrics including turn-around times
Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment
Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reduction
- High school diploma or equivalent
- Bilingual (English/Spanish Only)
- 1+ year experience in customer service / call center position
- Basic computer / data entry skills
- Experience in a managed care environment with provider information systems preferred
- Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
- 401k after 1 year of employment: With employer match and profit sharing
- GREAT Hours! Monday through Friday, 40 hours per week
- Competitive Pay Rate!!
Keywords: Data Entry, Healthcare, Admin Assistant, Call Center, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Reimbursement Counselor, Medical Customer Service, Healthcare, Inbound Calls, Outbound Calls, Medicare, Medicaid.