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Part-Time Off Hour Customer Services Representative
Location
EST (UTC-5)
Posted
16 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Part-Time Off Hour Customer Services Representative
Msccn
Role Description Under the direct supervision of the operations supervisor, the customer service representative is responsible for responding to a diverse membership and their providers, as well as other customers, in a timely, professional, and courteous manner. This includes: - Inbound and outbound member and/or provider phone calls or correspondence regarding benefits, eligibility, or customer issues. - Makes outreach welcome calls to new members and conducts Health Risk Assessment Surveys as needed. - Provides member education and assists members with PCP selection and assignments. - Assists with access to care and wellness program. - Follows internal processes and procedures to ensure all activities are performed in accordance with departmental and company policies and procedures. Additional responsibilities include: - Demonstrating a passion for providing superior customer service. - Creating accurate and timely member documentation concerning all inquiries. - Presenting and projecting a positive image of the company. - Striving to resolve inquiries on first contact. - Providing feedback and/or solutions to the supervisor for continuous process improvement. - Creating and supporting an environment that fosters teamwork, cooperation, respect, and diversity. - Maintaining an awareness of all product knowledge information. - Responding positively to support change within the department and the company. - Being flexible regarding job responsibilities and schedule, including overtime and holidays. - Routinely meeting or exceeding contact center key performance indicators. - Performing other duties as assigned. Qualifications - 1 year prior customer service experience required. - Call center experience taking in-bound and/or out-bound calls preferred but not required. - Prior experience in the healthcare or managed care industry is preferred but not required. - High School diploma or GED required. - Minimum 45 wpm typing skill preferred. - Excellent judgment and decision-making skills in dealing with complaints and sensitive requests required. - Ability to use PC applications in an MS Windows-based environment. - Must be in the Eastern Standard Time zone. Requirements - Mandatory Orientation: First Monday of employment, held remotely from 8:30 AM – 5:00 PM. - Training Schedule: Begins the first Tuesday following orientation, Monday – Friday | 7:00 PM – 11:00 PM. - Work Schedule: 20 hours per week. Benefits - Flexible work solutions include remote options and hybrid work schedules. - Competitive pay. - Paid time off, holidays, and volunteer events. - Health insurance coverage for you and your dependents starting Day 1. - 401(k) retirement savings plan. - Tuition reimbursement. - And more. Company Description Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. Our services include: - Integrated managed care products. - Pharmaceutical benefit management and specialty pharmacy services. - Behavioral health services. - Other administrative services.
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