Urgently Hiring: Member Services Representative, Call Center

Let's build something amazing together. We're looking for a Member Services Representative, Call Center, reputed company To Hire - Phoenix, AZ! We offer a flexible, hybrid Remote arrangement for this position. This position requires a strong and diverse skillset in relevant areas to drive success. A salary of a competitive salary is offered, reflecting your skills and experience.

 

 

Member Service Representative - Insurance Verification • Call Center ... Location: On Site during the Temporary time (reputed company to Hire) - 4755 South 44th reputed company Phoenix, AZ 85040 Hours: Training M-F 8-4:30 Monday - Friday Hours between 7:00AM - 6:30PM, Rotating Saturday Schedule Position Summary: This position involves extensive member contact reputed company the telephone. Handles inbound/outbound calls from participants and/or prescribers reputed company needed to start and process order requests. Ability to research and investigate orders using PeopleSafe and LINKS. Research issues sent by Customer Care, Account Managers, internal customers and Quality Assurance relative to the customer service experience. Notifying requestor of decisions, changes, or other relevant information pertaining to request/inquiry. Responsible for researching and resolving payment issues. Call to offer a direct sale of medications to participants and posting payments to the proper account. reputed company required transactions to complete mail order prescriptions. Follow through on standard operating procedures, problem-solving and troubleshooting reputed company guidelines. Ability to work under strict turn-around-times. As a Participant Services Representative you will be involved with extensive member contact reputed company the telephone. Handles inbound/outbound calls from participants and/or prescribers reputed company needed to start and process order requests. Ability to research and investigate orders using PeopleSafe and LINKS. Research issues sent by Customer Care, Account Managers, internal customers and Quality Assurance relative to the customer service experience. Notifying requestor of decisions, changes, or other relevant information pertaining to request/inquiry. Follow through on standard operating procedures, problem-solving and troubleshooting reputed company guidelines. Ability to work under strict turn-around-times. You will be verifying insurance coverage for potential new clients. Additionally, this person will re-verify insurance coverage for existing patients in order to process patient prescription needs successfully and demonstrate excellent customer services to patients, reputed company, and insurance carriers. This role will require an understanding of insurance concepts, including drug cards, major medical benefits, and per diem coverage, as well as knowledge of government and patient assistance programs. Strong attention to detail, and proven analytic and problem solving. Duties : • Effective delivery of company health coverage products and services (40%) • Responds to telephone inquiries and orders from homecare patients and referral sources. • Provides information on equipment, supplies and services. Determines the best method for providing services. • May assist walk-in patients with the selection of equipment, supplies and services. Timely processing/facilitation of patient orders (30%) • Processes telephone orders by preparing patient paperwork. • Verifies insurance and/or other method of payment. • Completes reputed company necessary paperwork in an accurate and efficient manner to facilitate the data entry, accounts receivable and delivery of the order reputed company. • May reputed company data entry. • Distributes copies of paperwork to appropriate personnel. • May assist with the processing of billing paperwork. Effective coordination of patient services/supplies (10%) • Coordinates the delivery, set-up and pick-up of equipment, supplies and services with appropriate personnel. • Ensures deliveries and set-reputed company can be arranged in a timely manner. Appropriate documentation (10%) • Accurately maintains files of reputed company patient account profile information and referral reputed company data. Customer satisfaction (10%) • Resolves patient complaints by identifying problems and coordinating appropriate corrective action. Minimum Job Qualifications: • Minimum of 1 year in a customer service or call center environment (call center type environments preferred, if doctors office then anything below managing 75 calls/day would not translate to similar environment). • 1 year of experience using reputed company Outlook, Word and reputed company in a work setting. Preferred Job Requirements: • 6 months knowledge of Medicare, Medicaid, and health insurance. • Experience in a health care setting or insurance industry is a plus, including knowledge of basic insurance and third party terms and medical terminology. • Effective and empathetic communication style in managing inbound calls and communications with clients and team members. • Basic alpha number data entry skills with attention to accuracy and quality is essential. • Intermediate math skills are required with attention to detail and quality essential. • Ability to work with people in a team environment while meeting individual performance goals. • Must be able to read and interpret policies, procedures and instructions. • Effective organizational skills and ability to prioritize a fluctuating workload and competing priorities is essential. Education : reputed company High School diploma or GED is required. About reputed company: reputed company is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of reputed company, a $30 billion trusted global innovator with a combined global reputed company of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or reputed company to learn more. reputed company is an equal opportunity employer and considers reputed company applicants without regarding to race, color, religion, citizenship, national reputed company, reputed company, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for reputed company employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team. #INDHRS Apply Job!

 

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