Customer Service Representative - Call Center
Customer Service Representative (Call Center)
Serves customers by offering information about eligibility, benefits, provider services, prior authorizations, and sales inquiries. The position answers inquiries, resolves issues, fulfills requests, and maintains accurate call record
documentation. Provide excellent customer service for customers utilizing in-depth knowledge of company products and
programs.
Essential Duties & Responsibilities:
- Service members and providers who contact the call center regarding eligibility, benefits, provider services, and prior authorizations.
- Service potential clients and employers with sales inquiries.
- Relieve Receptionist for breaks and lunch by performing the primary functions and duties of the Receptionist.
- Consistently be at work and on time; adhere to schedule, including returning from breaks and lunch in a timely manner.
- Perform other related duties as required or assigned by the Customer Services Supervisors or Customer Services Manager.
- This position prohibits any activity that requires interpretation of clinical information to customers, including the choosing of a set of criteria to use for handling a request for healthcare services or treatment.
Required Education and Experience:
- High school diploma or equivalent
- Minimum six (6) months of work experience in customer service
- Computer skills including ability to maneuver between multiple programs, working knowledge of Microsoft Windows and Microsoft Excel, and proficient keyboarding skills
- Exceptional listening, verbal, and written communication skills
Preferred and Advanced Qualifications:
- Associate’s degree or equivalent work experience
- Recent work experience in the healthcare industry