Provider Customer Service Call and Chat Representative - Remote in EST CST CDT and MST

Dheya; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company is seeking a Customer Service Call and Chat Representative to work remotely. This full-time position involves advocating for providers, resolving issues, and requires strong multitasking skills. Ideal candidates will have customer service experience and effective communication skills.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Paid training

Qualifications

• 1+ years of customer service experience analyzing and solving customer concerns.
• Must be 18 years of age or older.
• Experience with computer and ability to navigate complex applications.

Responsibilities

• Serves as the advocate for providers by demonstrating accountability.
• Service providers in a multi-channel environment including calls and chats.
• Research and resolve complex prior authorization and claim issues.

Skills

Effective Communication

Problem Solving

Empathy in Customer Interactions

Attention to Detail

Multitasking Abilities

Familiarity with CRM Software

Time Management

Education

High School Diploma / GED

Tools

Windows PC applications

Job description

Provider Customer Service Call and Chat Representative - Remote in EST CST CDT and MST

Skills Required :

Effective Communication ProblemSolving Empathy in Customer Interactions Attention to Detail Multitasking Abilities Familiarity with CRM Software Time Management

Ready to make a difference? Join us to start Caring. Connecting. Growing together.

This position is full-time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of : 8am – 4pm EST (8 hour shift within). It may be necessary, given the business need, to work occasional overtime, weekends, and / OR some holidays.

We offer 11 weeks of paid training. The hours during training will be 8:00am - 4:00pm CDT from Monday – Friday (subject to change based on trainer availability). 100% attendance is a must during training period. Training will be conducted virtually from your home.

If you are located within Eastern, Central and Mountain Time zones, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Serves as the advocate for providers by demonstrating accountability and ownership to resolve issues
• Service Providers in a multi-channel environment including call, dual chats, and email as required.
• Quickly and appropriately, contacts from college professionals (i.e. head offices, billing offices)
• Seek to understand and identify the needs of the provider, answering questions and resolving issues (e.g. benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health)
• Research and dissect complex prior authorization and claim issues and take appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction
• Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner
• Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business (C&S, M&R, E&I) provider types, and call types
• Influence providers to utilize self-service digital tools assisting with navigation questions and selling the benefits of the tool including aiding in faster resolution

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 1+ years of customer service experience analyzing and solving customer’s concerns
• Experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
• This position involves handling provider calls or concurrent chats, with an expected volume of 50 - 70 calls/chats daily. It requires full attention to work duties. Employees in this role must ensure they have uninterrupted work time during their shifts, except for scheduled breaks and lunch periods
• Available to work full-time (40 hours/week) Monday - Friday for any hours between 8am – 4pm EDT (8 hour shift within). It may be necessary, given the business need, to work some holidays, weekends, and/or overtime as business needs require

Preferred Qualifications:

• Experience in a related environment (i.e., office, call center, customer service, etc.) using phones and computers as primary job tools
• Presently employed within UHC Operations & Experience. (Also known as UHC Benefit Operations. Use Sparq to confirm your alignment in 3 quick steps: 1) From the Sparq Homepage, click “My Profile”. 2) Click “Organization Chart”. 3) Look upward on the org chart to confirm that you report through Mike Baker)

Telecommuting Requirements:

• Reside within Eastern, Central and Mountain Time zones
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy

Soft Skills:

• Proficient in multi-tasking, including managing multiple conversations simultaneously
• Skilled in quickly resolving calls and messages, effectively preventing escalated complaints
• High emotional intelligence and empathy
• Excellent active listening and comprehension abilities
• Exceptional written communication skills
• Demonstrated problem-solving, organizational, and interpersonal skills
• Proven track record of consistently achieving quality and productivity standards
• Typing Speed is greater than or equal to 35-40 WPM with accuracy of 90%
• All employees working remotely will be required to adhere to JKKN Policy.

The hourly range for this role is $19.88 to $33.22 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. JKKN Institutions complies with all minimum wage laws as applicable. In addition to your salary, JKKN Institutions offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with JKKN Institutions, you’ll find a far-reaching choice of benefits and incentives.

At JKKN Institutions, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

JKKN Institutions is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

#RPO

 

About Us :

VISION
To be a Leading Global Innovative Solutions provider for the ever changing needs of the society.

MISSION
Enabling a Platform for all to seize exponential opportunities thereby facilitating them to become Dynamic Leaders.

VALUES
#Innovation, #Commitment to Excellence, #Think Big, #Integrity, #Teamwork

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