Customer Service Representative

Integrated Resources Inc.; Franklin (TN); On-site; USD 20,664 - 27,552; Part time

Job summary

A leading company in staffing is looking for a part-time Customer Service Representative 1 in Franklin, TN. The role involves handling customer service inquiries, resolving issues, and ensuring compliance with Medicare requirements. Ideal candidates should have experience in Medicaid/Medicare and strong communication skills. Training is full-time for 4 weeks, followed by flexible part-time shifts.

Qualifications

• At least a year of Medicaid/Medicare experience required.
• Call Center/Contact Center background is required.
• CSR must be able to type 30-35 WPM.

Responsibilities

• Handles customer service inquiries and problems via phone, internet, or in writing.
• Explains member's policy benefits and coordination with Medicare.
• Ensures compliance with regional compliance authority/Medicare requirements.

Skills

Customer Service Skills

Typing

Medicaid/Medicare Knowledge

Communication

Job description

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-state's most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy, and Nursing.

Job Description

Job Title: Customer Service Representative 1

Location: Franklin, TN 37067

Duration: 0-8 months (temp to hire)

Job Description:

1. These PART TIME shifts would be 4 or 5 hours between 8 am and 1 pm. Contractors would need to attend training, which will be full-time hours for 4 weeks.
2. Handles customer service inquiries and problems via telephone, internet, or written correspondence. Inquiries are of basic and routine nature.
3. Answers questions and resolves issues based on phone calls/letters from members, providers, and brokers.
4. Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers, and brokers.
5. Explains member's policy benefits and coordination with Medicare.
6. Handles complaints (member/provider) via relevant recording/reporting system.
7. Ensures compliance with regional compliance authority/Medicare requirements.
8. Determines applicable coverage provisions and verifies member plan eligibility.
9. Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible. Performs financial data analysis as necessary.
10. Uses applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received.
11. Adheres to international privacy policies, practices, and procedures.
12. The hours may vary. The call center is open from 7 am to 8 pm Central Time. These PART TIME shifts would be 4 or 5 hours between 8 am and 1 pm.
13. Potentially temp to hire. Typing test/computer skills testing REQUIRED.
14. CSR must be able to type 30-35 WPM. CSR should have at least a year of Medicaid/Medicare experience. Call Center/Contact Center background is required.