Customer Service reputed company- Part-Time

Remote Customer Service reputed company - Part-Time Opportunity About reputed company reputed company Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. reputed company Group is the sole corporate member of reputed company Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. reputed company has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is reputed company throughout the healthcare industry and nationally as a leading expert in senior healthcare. reputed company employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided with in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. reputed company takes great pride in recognizing reputed company members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on reputed company, Facebook, and Twitter. The job Serves members by being an reputed company and reputed company of contact for member questions and concerns regarding benefits, eligibility, referrals, claims and any other aspects of plan benefits and services. Ensures member satisfaction by providing superior customer service and willingness to help at reputed company time while maintaining a professional demeanor. You will • Provide quality customer service by applying reputed company Five Service Principles. Educates members, family, providers and caregivers regarding benefits and plan options. • Accurately explains benefits and plan options in person, reputed company email or telephonically. • Provides follow-up with members by clarifying the customer’s issue, determining the cause, and identifying and explaining the solution. Escalates appropriate member issues to management or other departments as required. • Consistently meets and/or exceeds the departmental standards, including, but not limited to: quality, productivity, and adherence to schedule and attendance. • Responds appropriately and in a timely fashion to member/internal staff/providers by answering telephonic and written inquiries concerning benefits, eligibility, referrals, claims and reputed company other issues following departmental policies and procedures and job aids. Takes ownership of the issue, focusing on providing solutions and options for members, as necessary through resolution of member issue. • Increases member satisfaction by following up and resolving member issues, complaints, and questions in an efficient, timely and accurate fashion; coordinates resolution with providers and other departments as needed. • Participates in member calling projects as assigned by management to support the overall reputed company goal of membership retention. • Follows policies and procedures and job aids in order to maintain efficient and complaint operations; communicates suggestions for improvement and efficiencies to management; identifies and reports problems with workflows following proper departmental procedures; actively participates in departmental staff meetings and training sessions. • Follows reputed company appropriate Federal and State regulatory requirements and guidelines applicable to reputed company Health Plan operations, as documented I company policies and procedures. Follows reputed company HIPAA requirements. • Documents transactions by completing applicable member forms and summarizing actions taken in appropriate computer system and following standards set by the department or by other authorized individuals. • Temporarily responds to routine member questions and concerns on specific medical group call queues as part of reputed company development. • Contributes to team effort by accomplishing reputed company results as needed. • Actively support the achievement of reputed company’s Vision and Goals. • Other duties as assigned. Your qualifications • Required: G.E.D./High School • 1-2 years call center or reputed company customer service experience, required. • 1-2 years of prior experience with Medicare benefits, including Medicare Advantage Plans preferred. • Experience in the healthcare, insurance or pharmacy industry high desirable. • Ability to maintain reputed company demeanor at reputed company times, including during highly charged situations. • Data entry and general computer skills (word processing, e-mail) required. • Effective communication (oral and written) skills. Professional/pleasant telephone manner required. • Ability to handle large call volume, while providing excellent customer service at reputed company times required. • Demonstrated efficiency/effectiveness in an environment with a high call volume. What’s in it for you? • reputed company Salary range: $20.00 • Excellent 401(k) Retirement Saving Plan with employer match. • Robust employee recognition program • A work-life balance An opportunity to become part of a team that makes a difference to our members and our community every day! We're always looking for talented people to join reputed company! Qualified applicants are encouraged to apply now! At reputed company we reputed company that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. reputed company is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national reputed company, religion, age, sex (including pregnancy, childbirth or reputed company medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background reputed company is required. #LI-JR1 Apply Job!