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Work at Home Customer Service Health Care

Teleperformance Raleigh, NC
  • Posted: 28 days ago
  • Full-Time

Teleperformance is a strategic partner to the world's leading companies, bringing solutions and enhancing customer experience during each interaction. We are the largest interaction expert team in the market: multicultural, highly skilled, and deeply knowledgeable, with a wide range of integrated omnichannel solutions, technology, and the highest security standards. For us, each interaction needs to be treated as unique.

We are a team of 300,000 + passionate employees. Located in 80 countries with 400 + facilities and 218,000 workstations.

Our people feel they are part of something way bigger than just a job. We try to make a positive difference in people's lives and make the world a better place.

JOB SUMMARY:

The primary function/purpose of this job. Handle customer service inquiries from members, providers, physicians and internal and external clients related to pharmacy benefits. Work to research and resolve problems in a timely manner. Assist members in understanding and maximizing the use of their pharmacy distribution program. Use computerized system to gather information and respond to questions. Document issues and resolutions in a common database. Escalate issues as necessary.

ESSENTIAL FUNCTIONS:

  • Handle inbound queries from member, provider and physician through chat. Answer questions related to pharmacy benefits, while maintaining productivity standards and performance guarantees where applicable.
  • Work with other operational departments to research and resolve mail order and claims issues and respond to members within performance agreement guidelines.
  • Maintain accurate and complete documentation of all inquiries in order to continuously improve the customer service process and reduce potential legal concerns.
  • Identify and escalate in a prudent manner, concerns received from patients and/or clients so that corrective action can be pursued and expedited to take care of their needs.
  • Responsible for good housekeeping techniques, adhering to quality and production standards while complying with all applicable company, state and federal safety

Experience:

  • Minimum of 6 months of customers service experience
  • 1+ years previous experience preferred but not required
    • Claims
    • Health insurance customer service environment
    • Medical background
    • CPT codes
    • Medical coding
    • Provider office operations (i.e. claims, processes, etc)

Technical Skills/Requirements:

  • Oral and written communication skills sufficient to clearly convey messages to co-workers, supervisor, others in the organization, and to our providers
  • Computer skills a must
  • Interpersonal skills required to work well with others
  • Ability to follow direction
  • Ability to type a minimum of 25 words per minute

Education: High school diploma or equivalent

Teleperformance

Why Work Here?

“At Teleperformance, we deliver an outstanding customer experience, at every single opportunity, as a result of our commitment, passion and

Teleperformance is a global leader in providing exceptional omnichannel customer experiences since 1978. Our impacts are far-reaching, spanning over 62 countries and interacting with over 38% of the world’s population. This kind of growth wouldn’t have been possible without the dedication of our people who continue to provide outstanding customer service in every opportunity. Here, your success is our success.

Address

Raleigh, NC
USA

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