Customer Service Representative PRN

Corewell Health; United States; Remote; USD 19,000 - 30,000; Part time

Benefits offered by this job

Comprehensive benefits package

On-demand pay

Discounts directory

Retirement options

Job summary

Corewell Health in Lakeland, FL is seeking a part-time inbound call center specialist to assist members, employer groups, providers, and colleagues with benefits, eligibility, billing, and claims. You will educate callers and resolve questions via phone, chat, email, and in person when needed.

The role emphasizes accuracy, empathy, and adherence to service guidelines while escalating complex issues. Prior customer service experience is preferred; a high school diploma or equivalent required;

Qualifications

• Analyzes, evaluates, resolves and responds to service inquiries per guidelines.
• Provides information on benefits clarification, eligibility, verification, billing and claim status.

Responsibilities

• Responds to service inquiries from members, providers, employer groups, colleagues, agents and others within guidelines.
• Promotes education about benefits and eligibility to customers.

Skills

1 year of relevant experience in the関連

Education

High School Diploma or equivalent

Associate's Degree

Job description

Job Summary

Inbound call center to assist and educate members, employer groups, providers, colleagues, and/or agents of health plan benefits with accessing services, facilitating and resolving problems, understanding claims, billing and coding, along with other questions. Consistently create an exceptional experience with each contact, via inbound and outbound calls, face-to-face interactions, online chat, email, etc.

Essential Functions

• Analyzes, evaluates, resolves and responds to service inquires from members, providers, employer groups, colleagues, agents, Elite agents (customers), and others within departmental guidelines. Professional and pleasant interactions are ongoing expectations.
• Partnering with internal and external resources, promptly provides customers with information and education concerning benefit clarification, eligibility requirements, verification, authorization, billing and claim status.
• Promptly identifies and resolves or escalates customer concerns or complaints to achieve positive outcomes. Places outbound welcome calls to members to educate them on their benefits as needed. Assists walk-in members and agents if assigned by leadership.
• Adheres to established procedure and quality guidelines in support of Priority Health service promise, key drivers, performance indicators, as well as Corporate values and codes of excellence. Identifies potential trends or issues that impact health plan members and works with coworkers and leadership resources to suggest process improvements.
• Assists members with administrative issues, such as submitting enrollment record changes, providing letter explaining coverage or benefits, and obtaining and relaying certain member information to other departments as needed.
• Facilitates claims resolution through follow-up on member calls and correspondence received to appropriate departments.
• Effectively tracks and/or documents all service interactions with customers within appropriate systems according to guidelines.
• Develops and maintains behaviors of productivity, availability to customers, and adherence to work schedule.

Qualifications

• Required High School Diploma or equivalent
• Preferred Associate's Degree
• 1 year of relevant experience in related field Required

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Lakeland Hospital St Joseph - 1234 Napier Ave - St Joseph

Department Name

PHO Contact Center - Lakeland Care

Employment Type

Part time

Shift

Variable (United States of America)

Weekly Scheduled Hours

0.04

Hours of Work

Variable

Days Worked

Variable

Weekend Frequency

Variable weekends

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.