SKYGEN logo
SKYGEN

SKYGEN is the trusted partner for specialty benefits payers and government agencies responsible for the delivery and administration of dental and vision benefits. Through cutting-edge technology and service solutions, SKYGEN empowers clients to become the most efficient, effective healthcare organizations in the country.

Portal Services Rep - Virtual - 1st Shift!

Location

United States

Posted

55 days ago

Salary

$16 - $23 / hour

Seniority

Mid Level

No structured requirement data.

Job Description

Portal Services Rep - Virtual - 1st Shift!

SKYGEN

Important things YOU should know: - Training & Production Schedule: Monday - Friday, 8:00am - 4:30pm CST - Please know hours of operation are 8:00am – 6:00pm CST so shift could flex based on business need. - Fully Remote - Customer Service in Dental or Health Insurance experience a plus! What will YOU be doing for us? Increase member, provider and client use of our web based solutions for claims submission, payments, and authorizations. What will YOU be working on? - Provide education to callers on the benefits of utilizing the member and provider insurance portals. - Service dental, medical, vision and physical therapy members and providers using the member and provider portals offered by SKYGEN USA. - Provide feedback to multiple internal departments regarding issues found on the member and provider portals. - Ensure all calls are answered according to company and client guidelines. - Accurately document call information and resolution in internal systems while engaging with members and providers. - Properly identify potential issues that are not easily resolved and escalate appropriately to Manager. - Perform outbound calling projects as directed. Additional Responsibilities: - Utilize multiple modules in the Enterprise System to research portal questions. - Work with internal departments to produce, maintain, and deliver portal training references and materials. - Work with call center to resolve outstanding follow ups generated from incoming calls. - Using automated systems, maintain updated data on portals by verifying accuracy and handling any exceptions or issues. - Act as a liaison between portal users and clients to resolve escalated issues. - Provide recommendations on system enhancements and process improvements to management. - Assist department with administrative tasks and additional duties as needed. What qualifications do YOU need to have to be GOOD candidate? - Required Level of Education, Licenses, and/or Certificates - High school diploma/GED required - Required Level of Experience - 1 year of customer service experience (Call Center, Provider Relations). - Required Knowledge, Skills, and Abilities - Intermediate knowledge of Microsoft programs (Word, Excel, and email) - Excellent attention to detail - Excellent oral and written communication skills - Ability to successfully meet timelines for project plans - Strong navigation skills and the ability to multi-task What qualifications do YOU need to have to be a GREAT candidate? - Preferred Level of Education, License, and/or Certificates - Associates degree/2 year degree in related field - Preferred Level of Experience - 1-3 years of customer service experience (Call Center, Provider Relations). - Preferred Knowledge, Skills, and Abilities - Knowledge of contract terminology - Understanding of reimbursement methods - Knowledge of dental, medical, physical therapy and vision products and terminology

Related Job Pages

More Client Services Representative Jobs

Full TimeRemoteTeam 501-1,000

Summary The Director of Client Services Operations oversees a team dedicated to processes, analytics, documentation, and support of the core client service verticals that directly engage with major clients. Additionally, the Director will oversee some assigned direct client service activities (approximately 25% of the time). The goal of this role is to manage client coordinators, account managers, and other available staff in a way that supports successful delivery and care for clients. Oversight includes implementation and use of best practices, client implementations of various client types, Client Services team training, sales pull through/add-on sales, trend management/client plan review, communications directed at the client level, interacting with operations and other company groups to deliver on client initiatives, gather information, compile data, and prepare the account teams for delivery. The understanding of complex client political environments and working in them is essential to be successful. This position reports directly to the VP or Sr Director of Client Services. Essential Duties and Responsibilities - Responsible for staff/employer relationship: Hire, lead/mentors, manage, and discipline. - Staff includes Executive Account Managers, Account Managers, and Account Coordinators. - Provide new employee training to ongoing training specific to the Pharmacy Services industry, HealthDyne programs, program up-selling, client sales pull-through, relationship management/political understanding, limited pharmacology, etc. - Manages, trains, and directs assigned staff members to ensure adherence to Best Practices guidelines/ SOPs. Assists with identifying and developing new Best Practices procedures and SOPs as necessary. - Maintains Client Services SOP database for reference and training. - Primary support leader to the VP of Client Services in assuring the best support for clients. Manages a team that works as the “engine room” for the client-facing teams. - Pursues initiatives with other company departments, tracks analytics and data for results reporting, gathers critical updates and report outs from operations for routine reports and updates to clients, and establishes an operational structure in coordination with the VP that ensures optimization of the team. - Participates as a preceptor/mentor and role model for client services team members for client presentations, implementation activities, and day to day client interaction. - Helps Client Services staff resolve escalated issues using management techniques and resources to successfully resolve issues as they arise. - Resolves issues from a root cause perspective. - Works with other internal departments to evaluate and improve/strengthen processes and procedures across the business to proactively eliminate processes that can result in negative outcomes while focusing on corporate profitability and efficiencies. - Establishes department goals along with the reporting needed to provide meaningful/quantifiable feedback to the level of goal accomplishment. - Develops strategies to optimize the performance of all Client Services staff. - Serves in a leadership role for projects that affect Client Services/clients directly including client reports, status/development interdepartmental tools, and BDS/Web enhancements. - Responsible for book-of-business client management including service, retention and overall relationships: - Implementations. - Training CS teams on new products/services. - Process/productivity improvement initiatives. - Facilitating external communications at the client level. - Produces strategic initiatives targeted at meeting the needs of clients from a service and risk management perspective. - Provides leadership and corporate-wide initiatives. - Establishes multiple corporate relationships and participates in client-sponsored events/charities to cultivate in-group growth through these relationships. - Exhibits compliant and ethical behavior in the performance of job responsibilities, including complying with all applicable federal and state laws and regulations, WellDyne Code of Conduct, Business Ethics Policies and Procedures, and other policies and procedures applicable to the position. - Significant travel may be required. - Performs other duties as assigned to meet corporate objectives. Education and Experience - Bachelor’s Degree and 5+ year’s health care experience (equivalent combination of education and experience considered.) - Pharmacy services, mail order pharmacy experience preferred. - Understanding of operational pharmacy support of clients. - Background as a Pharmacy Technician or working in the pharmacy space in addition to client service experience is a plus. - Must have knowledge and experience in managing and leading account management teams with a proven track record of success in new client implementations and negotiations. - Strong organizational, interpersonal, communication, analytical, and presentation skills required. - Must be flexible, resourceful, adapt quickly to change, and work effectively in a fast-paced, team-oriented, and high-growth environment. Knowledge, Skills, and Abilities - Proven leadership and management of staff. - Must be able to utilize training techniques specific to the Client Services responsibilities. - Ability to provide constructive feedback to support staff. - Ability to direct and delegate to support staff as needed. - Prior experience that demonstrates the ability to prepare for, lead and communicate with all levels of people and in various group sizes, in a manner that illustrates superior professionalism. - Relationship-focused, with excellent interpersonal skills for dealing with clients, peers, and other departments. - Proven ability to assess and plan strategically for political environments including the ability to mediate compromises between various interests. - Previous experience that demonstrates the ability to manage multiple projects to a successful conclusion, including measurement of milestones and alerting project participants to outliers/ project status at any time. - History of excellent written communication and documentation skills. - Must be able to demonstrable the ability to actively participate in trend and competitive analysis decision making including the use of advanced math skills. - Must be able to apply use of logical methods to address problems and develop effective solutions, with information organized clearly and concisely, ensuring customer expectations are met or exceeded. - Ability to assess problems, distinguish root causes, and take immediate corrective actions as needed. - Must have high attention to detail with the ability to prioritize and meet deadlines. - Ability to adapt and be flexible in a variety of situations. - Ability to multitask and possess excellent time management skills. - Must be able to work independently as well as support, contribute, and lead teams in different situations. Work Environment / Physical Demands This position is in both a typical office environment which requires prolonged sitting in front of a computer and in an external environment where travel is required, and client meets may require golf outings, etc. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. May be required to stand for long periods of time: trade shows, lectures etc. Travel required as much as 50% of the time. EOE M/F/D/V

United States
Veremark logo

Client Services Manager

Veremark

Veremark is a background screening and pre-hire checks provider, supporting the hiring process for businesses everywhere

Full TimeRemoteTeam 51-200Since 2018H1B No Sponsor

• Manage and develop the Client Services team • Provide excellent service to top-tier clients • Oversee onboarding of new clients to premium services • Maintain proactive client relationships • Communicate company goals and objectives to the team • Review client portfolios regularly • Liaise with stakeholders for business improvements • Conduct regular one-on-ones with team members • Monitor team staffing levels • Ensure appropriate cadence of client reports or meetings

India
Job Closed
Veremark logo

Client Services Manager

Veremark

Veremark is a background screening and pre-hire checks provider, supporting the hiring process for businesses everywhere

Full TimeRemoteTeam 51-200Since 2018H1B No Sponsor

• manage and develop the Client Services team • provide excellent service to top tier and paying clients • oversee onboarding of new clients to premium client services • maintain proactive client relationships • identify trends, bottlenecks and opportunities in client operations • manage the strategic approach to clients

Malaysia
Job Closed
Veremark logo

Client Services Manager

Veremark

Veremark is a background screening and pre-hire checks provider, supporting the hiring process for businesses everywhere

Full TimeRemoteTeam 51-200Since 2018H1B No Sponsor

• Manage and develop the Client Services team • Oversee onboarding of new clients to premium services • Maintain proactive client relationships • Identify trends, bottlenecks, and opportunities • Communicate company goals and objectives • Review client portfolios with the team • Liaise with stakeholders on business improvements • Conduct regular one-on-one meetings • Provide induction training for new joiners • Monitor team leave and absences • Ensure appropriate client reporting cadence

Philippines
Job Closed