Call Center Representative

Presbyterian Healthcare Services; Albuquerque (NM); Remote; USD 23,000 - 38,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Short-term disability

Long-term disability

Life insurance

Job summary

Presbyterian Healthcare Services in New Mexico is hiring a Call Center Representative to deliver service excellence from a home-based setting for NM residents. This full-time role requires a high school diploma, 1–3 years of office or call center experience, and the ability to type 30 wpm with 90% accuracy.

Knowledge of CRM and Facets is a plus; you will handle inquiries via phone, email, and chat. Join a mission-driven team at Reverend Hugh Cooper Administrative Center and support members,

Qualifications

• High school diploma plus one to three years office/business experience.
• Call center experience preferred.
• Ability to type 30 wpm with 90% accuracy.

Responsibilities

• Provide customer service for members and providers in all PHP benefit plans.
• Respond to inquiries via telephone, Pres Online, E-Business, chat and in person.
• Meet department metrics and attendance guidelines within department.
• Process claims in managed care with enrollment experience preferred.
• Communicate effectively with members, employer groups, physicians and staff.
• Create, sort and analyze reports in Excel/Access.
• Knowledge of reimbursement methodologies (DRG, RVU, Per Diem, Fee schedules, Capitation).
• Work well as part of a team and maintain quality standards.
• Must type 30 wpm with 90% accuracy.
• This is an evergreen requisition.

Skills

Call center experience

Customer service

Typing 30 wpm

Education

High school diploma

Tools

CRM

Facets

Excel

Access

Job description

Compensation Pay Range:

Minimum Offer $16.79 Maximum Offer $27.67 Now Hiring: Call Center Representative

Location Address:

9521 San Mateo NE Albuquerque, NM 87113-2237

Compensation Pay Range:

Minimum Offer $16.79 Maximum Offer $27.67 Now Hiring: Call Center Representative

Summary:

Please note. This role is a work at home role available for New Mexico residents only at this time. Build your Career. Make a Difference. Presbyterian is hiring a skilled Call Center Representative to join our team. Type of Opportunity: Full time Job Exempt: No Job is based: Reverend Hugh Cooper Administrative Center Work Shift: Days (United States of America)

Responsibilities:

Responsible for providing customer service for members and providers in all PHP benefit plans. Ensure callers receive service excellence when responding to telephone, written, Pres Online, E-Business, chat and in person inquires.

Some key responsibilities include

• High school diploma plus one to three years office/business experience; call center experience preferred and/or is currently demonstrating customer service skills, meeting current department metric and attendance guidelines within department.


• Claims processing experience in managed care with possible enrollment experience is preferred.


• Demonstrated ability to communicate effectively in person and via telephone with members, employer groups, brokers, physicians, and physician office staff. Written communication skills as well as business writing and presentation skills are required.


• Requires strong organizational skills, ability to create, sort and analyze reports (Excel, Access, etc) and system processes.


• A thorough knowledge of reimbursement methodologies i.e. DRG, Relative Value Systems, Per Diem, Fee schedule, Capitation, etc and some knowledge of risk sharing programs helpful.


• Some knowledge of CRM and Facets, as well as any other databases that may be used PHS Enterprise wide.


• Demonstrated ability to function effectively as a team member. Requires ability to retain plan details and basic medical terminology.


• Must be able to work cooperatively with other employees and function under pressure. Demonstrated ability to sustain quality standards. Must be able to prove ability to type 30 wpm with 90% accuracy.


• This is an evergreen requisition

Qualifications:

• High school/GED diploma


• One year office/business experience


• Call Center experience preferred.

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness

Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian?

As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services

Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services