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Healthesystems is a specialty provider of innovative medical cost management solutions for workers’ comp industry.
Customer Service Specialist
Location
Alabama + 15 moreAll locations: Alabama | Arizona | Florida | Idaho | North Carolina | Ohio | Oklahoma | Maryland | Mississippi | Missouri | Pennsylvania | South Carolina | Tennessee | Texas | Utah | Virginia
Posted
76 days ago
Salary
$19 / hour
Seniority
Mid Level
Job Description
Customer Service Specialist
Healthesystems
• Build trusted relationships with clients, claimants, and pharmacies • Provide superior customer service to every caller • Resolve inquiries related to claims adjudication, eligibility verification, and prior authorization • Work with team leads to resolve phone inquiries • Adhere to attendance, punctuality, and quality guidelines
Job Requirements
- High school diploma or GED
- 1-2 years related customer service and/or healthcare experience required
- Experience in an administrative business environment highly preferred
- Knowledge of Windows-based applications
- Ability to multi-task with dual monitors and enter information swiftly using keyboard
Benefits
- Healthcare coverage
- PTO
- Paid holidays
- 401(k)
- Company-provided life insurance
- Disability coverage
- Wellness options
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• Handle customer inquiries via phone, email, and chat per SOPs. • Use TCP’s tools (Microsoft Suite, Salesforce, ZOHO, Hodu) for daily operations. • Escalate and assign issues to relevant departments as needed. • Log, review, and follow up on customer requests and resolutions. • Investigate, research, and provide accurate solutions. • Maintain and update customer records during interactions. • Achieve KPIs for client-facing time, call quality, and occupancy. • Address collections and billing inquiries, including payment plans, account balances, and overdue payments. • Clarify charges, generate statements, and process billing adjustments. • Handle service cancellations, applying retention strategies and resolutions. • Complete cancellations training and apply retention strategies as part of daily responsibilities.
• Handle customer inquiries via phone, email, and chat per SOPs. • Use TCP’s tools (Microsoft Suite, Salesforce, ZOHO, Hodu) for daily operations. • Escalate and assign issues to relevant departments as needed. • Log, review, and follow up on customer requests and resolutions. • Investigate, research, and provide accurate solutions. • Maintain and update customer records during interactions. • Achieve KPIs for client-facing time, call quality, and occupancy. • Address collections and billing inquiries, including payment plans, account balances, and overdue payments. • Clarify charges, generate statements, and process billing adjustments. • Handle service cancellations, applying retention strategies and resolutions. • Complete cancellations training and apply retention strategies as part of daily responsibilities.
