Job ID: MG-1031111Description:
BASIC FUNCTION: Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 90% of the scheduled time on the phone according to business need.
* High school diploma OR GED. * 6 months customer service experience OR 6 months experience in an office environment. * Data entry and/or typing experience. * Interpersonal, verbal and written communication skills. * Analytical and organizational skills and independent decision making skills. * Ability to spend approximately 90 of the scheduled time on the phone according to business needs and sit for long periods of time with scheduled breaks.
PREFERRED JOB REQUIREMENTS:
* 9 months customer service experience. * Experience working with various lines of business, i.e. CDHP, Medicare, Wellness, and Disease Management. * Knowledge of medical terminology and anatomy. * Proven ability to learn quickly and adapt to change. * Referral preference given to applicants able to take and meet testing criteria.
INTAKEBASIC FUNCTION: Under supervision and following unit specific coaching and training, this position is responsible for researching and responding to telephone and written inquiries within the statutory time frames and in an accurate and objective manner; collecting non-clinical data; determining benefit levels according to contract guidelines; completing notification of maternity cases; and pending designated cases and referral requests to a RN for clinical review. Complete cases that could be completed by the iExchange automated system. Spending approximately 90% of the scheduled time on the phone according to business needs.
HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Requirements: Expertise Claims & Customer Service Job Type Full-Time Regular Location NM - Albuquerque
Associated topics: call center representative, call center specialist, clerk, customer care representative, customer service specialist, phone, representante de servicio al cliente, system support, telephone service representative, tsr