This is a healthcare account, anyone who is hired will specifically handle Billing and Enrollment concerns of the members.
Minimum roles and responsibilities required are, but not limited to, the following:
- Respond to inbound inquiries from providers and members on Eligibility and Benefits (medical and behavioral health), Claims Inquiry , Provider Inquiry pre-authorization following call procedures consistent with client-approved call procedures
- Report issues on process, calls, technology in a timely manner
- SHS or at least 2nd year level in college.
- Preferably with minimum of 6 months experience in the call center/ BPO.
- Applicants with no call center experience may still be considered based on skills required for the job.
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- Should have an experience on voice accounts; but those with non-voice experience can still apply if they have excellent communication skills.
- Excellent communication and teamwork skills required.
- Strong interpersonal skills - ability to inspire teamwork at all levels.
- Ability to identify member/customer concerns & provide real-time problem-solving interventions.
- Provide creative, "outside the box" solutions.
- Ability to multitask - documenting the interaction while on the call with the member/customer.