Call Center Representative 139137

Responsibilities:

• Answer calls from members whose health benefits are provided through national employers.
• Answer calls regarding checking the network status of providers, the status of claims, eligibility, and benefits questions.
• Respond to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
• Analyze problems and provides information/solutions.
• Operate a PC/image station to obtain and extract information, document information, activities, and changes in the database.
• Develop and maintain positive customer relations and coordinate with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
• Research and analyze data to address operational challenges and customer service issues.
• Require limited knowledge of company services, products, insurance benefits, provider contracts, and claims.

Requirements:

• Minimum of 1 year of call center experience.
• Knowledge of medical terminology preferred.
• Pharmacy experience preferred.