Details Below:
POSITION : Member Services Representative (Call Center)
LOCATION : Onsite: Phoenix, AZ (South 44th Place)
JOB TYPE : This is a LONG-TERM CONSULTING assignment. Not Direct Hire.
PAY: $17.00 per hour
HOURS: M-F 7:00AM - 5:00PM (8 hour shift assigned) with Rotating Saturday Schedule
START DATE: 10/14/2024.

Customer Service which includes provider's inquiring about current insurance coverage, previous insurance coverage, copays, deductibles, claim questions including claim status, claim payments, claim denials, etc.

• Quality Customer Service- Inquiries to be made primarily by telephone but also through written format (email, mail, fax, etc.)
• Provides accurate information in a helpful, collaborative manner to callers through thorough knowledge of End Client products, policies and procedures.
• Captures and documents customer feedback.
• Receives, resolves, and routes complaints as defined by department policy, procedures, and guidelines.
• Interacts with other End Client staff to resolve customer inquiries, complaints, and problems, particularly in Claims Services, Provider Services, ILR/COB, Payment Processing, the Provider Processing Center, Provider Relations, Provider Contracting, Medical Management, Benefits Administration, Pharmacy Services and the Behavioral Health and High-End Imaging vendors.
• PSRs handles calls regarding claim status, appeal status, eligibility and benefits, referrals, and authorizations.

• Minimum of 2 years telephonic Healthcare customer service experience in a call center environment.
• Ability to maintain accuracy and production standards.
• Proficiency in Microsoft Excel, Outlook and Microsoft Word.
• Sharp organizational skills with the ability to manage various projects simultaneously.
• Multi systems/multi monitors technical skills.