CSR / Enrollment Rep

SmartRecruiters, Inc.; Nashville (TN); On-site; USD 31,000 - 38,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Job summary

HealthCare Support Staffing, Inc. is seeking a friendly and detail-oriented Healthcare Call Center Representative in Nashville, TN to handle member and provider inquiries with empathy and accuracy.

The position requires at least 6 months of call center or healthcare customer service experience, and preferred exposure to managed care, Medicare enrollment, or pharmacy benefits.

Benefits include medical, dental, and vision coverage, with a supportive team and opportunities to grow.

Qualifications

• 6 months of experience in call center or healthcare customer service.
• High School diploma or GED required (or equivalent work experience).
• Preferred experience from managed care with Medicare Enrollment/Pharmacy.

Responsibilities

• Responds to member and provider inquiries via phone, written, or walk-in professionally and promptly.
• Addresses claims questions and clarifies plan guidelines with accuracy and empathy.
• Demonstrates customer-care skills such as empathy, active listening, courtesy, and helpfulness.
• Records, investigates, and resolves member complaints per Grievance Procedures.
• Educates new members and re-educates existing members on health plan procedures.
• Logs and tracks issues using online systems in compliance with guidelines.
• Makes decisions aligned with a win-win-win for members and associates.
• Exhibits initiative, accountability, and value in daily tasks.
• Contributes to a high-quality customer experience reflected in CSAT and feedback.
• Performs other duties as assigned.

Skills

Customer service

Call center

Healthcare experience

Education

High School Diploma or GED

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Daily Responsibilities:

• Responds to member and provider inquiries (phone written or walk in) regarding all aspects of business including claims in a professional timely accurate and caring manner while consistently meeting all guidelines.
• Responds to member provider and other inquiries via telephone correspondence or lobby walk-in while meeting all corporate guidelines and performance standards
• Demonstrates appropriate customer-care skills such as empathy active listening courtesy politeness helpfulness and other skills as identified
• Records investigates and resolves member complaints as detailed in the Grievance Procedure narrative
• Assists in the education of new members and in the re-education of existing members regarding health plan procedures
• Logs tracks and appropriately documents all issues utilizing on-line systems and procedures and in accordance with all applicable guidelines and requirements
• Makes decisions that are consistent with the concept of a win-win-win for members associates
• Demonstrates based behaviors such as initiative accountability and value
• Performs skills necessary to create a high-quality customer experience as reflected through acceptable C-Sat scores quality monitors and member feedback
• Performs other duties as assigned.

Qualifications

• A High School or GED Required---or equivalent work experience Required
• 6 months of experience in call center or customer service (healthcare)
• Preferred experience from managed care with experience with Medicare Enrollment/Pharmacy

Additional Information

Shift Schedule:

Flexible on shifting schedule (must be able to work ANY shift between 7am and 8pm and on the weekends)

Advantages of this Opportunity:

• Competitive salary, negotiable based on relevant experience
• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment