Customer Service Representative

Direct Staffing Inc

Phoenix (AZ)

On-site

USD 30,000 - 40,000

Full time

14 days+

Get more replies from employers

Send a job-specific resume in minutes.

Benefits offered by this job

Competitive pay

Paid holidays

Year-end bonus program

Portable 401(k) plans

Access to continuing education

Job summary

A leading staffing agency in Phoenix is seeking a customer service representative to support the service center by responding to inquiries and complaints, educating clients on benefit programs, and ensuring high-quality service delivery. Candidates should possess a High School diploma and at least one year of experience in a high-volume call center or managed care environment. This position offers opportunities to improve processes and work collaboratively with a team.

Qualifications

Minimum of HS diploma or equivalent.
1+ years’ experience in high volume call center/customer service or managed care environment.

Responsibilities

Receives and responds to customer inquiries and complaints.
Prepares correspondence/documents in response to inquiries.
Facilitates resolution of complaints through communication with appropriate parties.
Educates customers on benefits programs and claims status.
Balances inbound customer calls with prioritized projects.
Works with team members to ensure outstanding customer service.
Provides informational needs for care coordination of members.

Skills

Customer service

Multi-tasking

Communication

Education

High School diploma or equivalent

Job description

Every day, Kelly Services connects professionals with opportunities to advance their careers.

In addition to working with the world’s most recognized and trusted name in staffing, Kelly employees can expect: Competitive pay Paid holidays Year-end bonus program Portable 401(k) plans Recognition and incentive programs Access to continuing education via the Kelly Learning Center Kelly Services® is a U.S.-based Fortune 500 company.With our global network of branch locations, we are uniquely positioned to provide our customers with international staffing support and our employees with diverse assignments around the world.

Job Description

This position supports the organization’s service center by providing daily customer service to physicians and/or staff, employees, health and dental plan members and dependents, payers, hospital staff, and the community at large.

ESSENTIAL FUNCTIONS

Receives, documents, researches and responds to customer inquiries or complaints following established policies, procedures and standards.
Prepares and/or initiates a variety of correspondence/documents in response to inquiries or complaints, following departmental procedures.
Facilitates timely research and resolution of complaints through interaction and communication with the appropriate parties, which includes but is not limited to, department team members, employees within the organization, physician offices, and/or contracted plan representatives. May perform account reconciliation, billing and payment posting.
Educates customers on benefits programs by providing information related to the use of a plan, eligibility, appeals process and claim status concerns. This includes providing information pertaining to the managed care organization, related services, and practitioners providing care, and members’ rights and responsibilities.
Multi-tasks between inbound customer calls and other prioritized projects or duties. Actively identifies opportunities to improve work processes.
Works cohesively with team members to ensure delivery of outstanding customer service, in a positive work environment, that supports the department’s ongoing goals and objectives.
Provides informational needs of clients for care coordination of members, appropriate access to contracted providers, services of contracted managed care organizations, employee benefits, health and dental plan inquiries, and services of staff such as utilization review, prior authorization, billing and contract management.

Qualifications