Healthcare Customer Services Rep

RN Express; Town of Mount Pleasant (NY); On-site; USD 16,531 - 20,664; Full time

Benefits offered by this job

Competitive salary

Positive work environment

Long-term position with benefits after 90 days

Job summary

RN Express in the Town of Mount Pleasant, NY, is looking for a candidate to handle member and provider inquiries in a supportive role. This position offers a competitive salary ranging from $12 to $15 per hour and requires candidates to have healthcare and claims experience. Ideal candidates will feel comfortable in a call center environment.

The responsibilities include responding to inquiries, documenting issues, and utilizing resources to assist members. This opportunity promises a positive work environment with long-term employment prospects.

Qualifications

• MUST have Healthcare experience.
• Claims experience is ideal (Commercial, Medicare, and Medicaid).
• Comfortable working in a call center environment.

Responsibilities

• Receive and respond to member/provider inquiries.
• Assist members with plan benefits via various communication methods.
• Document all members' issues and resolutions in the system.
• Utilize current materials to resolve member inquiries.

Skills

Healthcare experience

Claims experience (Commercial, Medicare, Medicaid)

Call center experience

Job description

Receive and respond to member/provider inquiries.

Hours for this Position: M-F 8:00-5:00 pm

Advantages of this Opportunity

• Competitive salary 12-15 per hour
• Positive work environment
• Long-term position (Benefits offered after 90 day probation period)

More Insight of Daily Responsibilities

• Receive and respond to all telephone or written correspondence inquiries from members within established timeframes and policies.
• Assist members with plan benefits via telephone, in writing, in person or make referral to outreach representative as appropriate.
• Document in the computer system all members’ issues and resolution.
• Utilize current reference materials to assist and resolve any member inquiries.

Qualifications

• MUST have Healthcare experience
• Must have Claims Experience any type (Commercial, Medicare, and Medicaid)
• Call Center experience strongly preferred but not required. With that being said we need to make sure 100% that they are comfortable working in this type of environment.
• Will consider candidates w/ Healthcare expr & have provided 'customer service' to people, but don’t have to be in a call center setting
• For EXP: Front Desk in a busy doctor’s office where they are answering phones, greeting patients, scheduling appts, etc.

Additional Information

All your information will be kept confidential according to EEO guidelines.

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